Individual
STACEY PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
902 N 5TH ST, NEWARK, NJ 07107-4804
(973) 910-2300
Mailing address
902 N 5TH ST, NEWARK, NJ 07107-4804
(973) 910-2300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00861300
NJ
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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