Msu Center for Audiology and Speech Language Pathology
NPI #1508038365 in Bloomfield, New Jersey
Provider Information
- NPI Number
- 1508038365
- Entity Type
- Organization
- Organization Name
- Msu Center for Audiology and Speech Language Pathology
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MONTCLAIR STATE UNIVERSITY
- Primary Specialty
- Audiologist
- Enumeration Date
- Apr 1, 2008
- Last Updated
- Jun 11, 2020
Practice Location
- Address
- MSU CENTER FOR AUDIOLOGY AND SPEECH LANGUAGE PATHOLOGY
- Address 2
- 1515 BROAD STREET
- City
- Bloomfield
- State
- New Jersey
- ZIP Code
- 07003
- Phone
- (973) 655-3934
Authorized Official
- Name
- MS. DONNA MCMONAGLE
- Title
- VICE PRESIDENT FOR FINANCE AND TREA
- Phone
- (973) 655-5105
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
| Audiologist |
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