Avigayil Wiener, MA, SLP-CCC
Speech-Language Pathologist, in Edison, NJ. Individual provider (NPI-1).
NPI number1164048906
StatusActive
Last updated in NPPESJun 17, 2020
Details
- NPI
- 1164048906
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Avigayil Wiener
- Credential
- MA, SLP-CCC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2020
- Certification date
- Jun 17, 2020
- Last updated
- Jun 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 41ys00826000 | NJ | Yes |
Practice location
10 Ryan RdEdison, NJ 08817-2942
Phone 908-705-2976
Mailing address
10 Ryan RdEdison, NJ 08817-2942
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