ELISHEVA LAX

PASSAIC, NJ
NPI1124603444
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NJ  41YS00767500)
Enumeration Date2021-03-17
Last Update Date2021-03-17
Business Address
ELISHEVA LAX SLP
50 BARRY PL
PASSAIC, NJ 07055-3516
Phone number: 201-317-5673
Mailing Address
ELISHEVA LAX SLP
95 HIGH ST
PASSAIC, NJ 07055-4751
Phone number: 201-317-5673