Individual
PHOEBE MERVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 NJ-35, UNIT 512, RED BANK, NJ 07701
(732) 333-1355
Mailing address
825 CLUB RD, BRIELLE, NJ 08730-1721
(732) 757-2769
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-4416
NJ
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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