Evergreen Speech Therapy
NPI #1285496968 in Forked River, New Jersey
Provider Information
- NPI Number
- 1285496968
- Entity Type
- Organization
- Organization Name
- Evergreen Speech Therapy
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jan 29, 2024
- Last Updated
- Sep 11, 2024
Practice Location
- Address
- 1014 CALVIN ST
- City
- Forked River
- State
- New Jersey
- ZIP Code
- 08731-1056
- Phone
- (732) 735-1969
Authorized Official
- Name
- BLYTHE DRAPER, MA-CCC-SLP
- Title
- OWNER
- Phone
- (732) 735-1969
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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