Joshua Bodine, CCC-SLP
Speech-Language Pathologist, in Marlton, NJ. Individual provider (NPI-1).
NPI number1336900620
StatusActive
Last updated in NPPESJan 25, 2024
Details
- NPI
- 1336900620
- Entity type
- Individual (NPI-1)
- Name
- Joshua Bodine
- Credential
- CCC-SLP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 23, 2024
- Certification date
- Jan 25, 2024
- Last updated
- Jan 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 41YS00890600 | NJ | Yes |
Practice location
3 Eves Dr Ste 308Marlton, NJ 08053-3129
Phone 856-334-5238
Mailing address
3 Eves Dr Ste 308Marlton, NJ 08053-3129
Phone 856-334-5238
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