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Individual
JESSICA KAREN OLENDER
Active
Individual
JESSICA KAREN OLENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
024772-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04168681
—
NY
01
—
325
MEDICAID CLN SP CD: EARLY INTERVENTION
NY
Enumeration date
09/25/2014
Last updated
02/13/2021
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