Whalio Doctors

NPI 1497165856

Lara Gonzalez, MSSLP

Practitioner Speech-Language Pathologist Sicklerville, NJ

Practice location

Address
401 Independence Blvd, Sicklerville, NJ 08081-1094
Phone
(856) 210-2777
Fax
(609) 228-0678

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 41YS00287900 (NJ)

Registry record

NPI
1497165856
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 May 2014
Record last updated
6 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.