Laura Ann Ksyniak, CCC-SLP
Speech-Language Pathologist, in Wayne, NJ. Individual provider (NPI-1).
NPI number1104946367
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104946367
- Entity type
- Individual (NPI-1)
- Name
- Laura Ann Ksyniak
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 41YS00411700 | NJ | Yes |
Practice location
89 Baldwin TerWayne, NJ 07470-3654
Phone 973-696-3928
Mailing address
19 Bergen DrCedar Grove, NJ 07009-1013
Phone 973-837-1123
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