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Vyvian Queenan, AUD
NPI 1184298549 · on the registry since 2021
Practice
- Address
- 350 Forsgate Dr Ste 103
Monroe Township, NJ 08831 - Phone
- (609) 831-0779
- Fax
- (609) 831-0778
- Clinicians at this address
- 2
Additional practice sites
- 300 Grand Ave # P2, Englewood, NJ
Registry record
- Primary taxonomy
- 237600000X
237600000X
- Also registered as
- 231H00000X
237600000X - Licence states on file
- NY, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey