Stacy Otten, MA CCC-SLP
NPI #1255570644 in Monroe, New Jersey
Provider Information
- NPI Number
- 1255570644
- Entity Type
- Individual
- Name
- Stacy Otten, MA CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA CCC-SLP
- Enumeration Date
- Feb 9, 2009
- Last Updated
- Feb 9, 2009
Practice Location
- Address
- 53 AVENUE K
- City
- Monroe
- State
- New Jersey
- ZIP Code
- 08831-2138
- Phone
- (732) 561-2123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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