Basic Information
| Provider Information | |||||||||
| NPI: | 1124781745 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | KWAKYE | ||||||||
| FirstName: | DAISY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 44 DELTA CT | ||||||||
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| City: | NORTH BRUNSWICK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 089021352 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7326096523 | ||||||||
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| Practice Location | |||||||||
| Address1: | 666 PLAINSBORO RD STE 2000C | ||||||||
| Address2: | |||||||||
| City: | PLAINSBORO | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 085363048 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8442348387 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/20/2021 | ||||||||
| LastUpdateDate: | 10/20/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/20/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 41YS01092000 | NJ | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.