Individual
RACHEL EMMA ELLENBOGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1 HERNANDEZ CT, OLD BRIDGE, NJ 08857-4406
(908) 461-4945
Mailing address
200 E 72ND ST, 5M, NEW YORK, NY 10021-4537
(908) 461-4945
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
021691
NY
Other
Enumeration date
03/29/2012
Last updated
01/17/2014
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