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Contact Information

CHRYSTAL REDDERSEN PICARO
323 PARK AVE
102
CITY OF ORANGE, NJ07050
 Phone: 908-868-1714
 Fax: 908-382-1799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for CHRYSTAL REDDERSEN PICARO · (Female)

NPI # 1528292703
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2009
Last updated 03/06/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # TL-1628
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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