Most Relevant Information
Provider Data
| NPI Number: | 1003582248 |
| Provider Name: | SAMARA YAEL MORITZ M.A. CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/18/2021 |
| Last Updated: | 08/18/2021 |
Provider Practice Location
110 HILLSIDE BLVD
LAKEWOOD
NJ
087013932
Practice Location Phone/Fax
| Phone: | 8482855065 |
| Fax: |
Provider Mailing Location
325 N 4TH AVE
HIGHLAND PARK
NJ
089042725
Provider Mailing Phone/Fax
| Phone: | 2018354227 |
| Fax: |