Eileen Anne Fasanella
NPI #1194303073 in Montclair, New Jersey
Provider Information
- NPI Number
- 1194303073
- Entity Type
- Individual
- Name
- Eileen Anne Fasanella
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Mar 31, 2021
- Last Updated
- Mar 31, 2021
Practice Location
- Address
- 2 WOODMONT RD
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07043-2500
- Phone
- (973) 818-2164
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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