Doctor Name: | MRS. CHRISTINE CONDURSO |
NPI Number: | 1386899037 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC/SLP |
License Number: | 41YS00685700 |
Business Practice Address: | 170 Statesir Pl Red Bank, NJ - 077016108 |
Business Phone Number: | 9175874485 |
Business Fax Number: | |
Mailing Address: | 170 Statesir Pl, RED BANK |
State: | NJ |
Postal Code: | 077016108 |
Phone Number: | 9175874485 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2008 |
NPI Last Update Date: | 05/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00685700 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |