Provider Demographics
NPI:1730473398
Name:O'CONNOR, DEENA DOLCE (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DEENA
Middle Name:DOLCE
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
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Mailing Address - Street 1:1919 GREENTREE ROAD
Mailing Address - Street 2:SUITE C
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003
Mailing Address - Country:US
Mailing Address - Phone:856-751-1937
Mailing Address - Fax:856-751-1938
Practice Address - Street 1:1919 GREENTREE ROAD
Practice Address - Street 2:SUITE C
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003
Practice Address - Country:US
Practice Address - Phone:856-751-1937
Practice Address - Fax:856-751-1938
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ41YS00412700235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist