Lauren Hillary Raivetz MA CCC-SLP

NPI 1174777619 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1174777619
Gender Female
Enumeration Date 11/11/2008
Last Updated 07/06/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
207 E 84TH ST
SUITE 209
NEW YORK NY, 10028-2972, US
Phone (917) 464-5601
Fax
Business Location
237 HAMILTON AVE
PRINCETON NJ, 08540-3942, US
Phone (160) 948-0692
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State New York
License Number 013725-1
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According to our database, Ms. Lauren Hillary Raivetz MA CCC-SLP NPI is 1174777619, taxonomy code is 235Z00000X and license number is 013725-1, license state is located at New York. Lauren Hillary Raivetz MA CCC-SLP physically located at 207 E 84th St, New York NY, 10028-2972. NPI Number Lauren Hillary Raivetz MA CCC-SLP has the Individual type.

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1174777619 NPI number is provided on an as is basis without warranty of any kind. 1174777619 is maintained by the National Plan & Provider Enumeration System. The contents of Lauren Hillary Raivetz MA CCC-SLP are for informational purposes only.