Individual
JESSICA HANSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
14 BRIDGEWATERS DRIVE, SUITE A, OCEANPORT, NJ 07757
(732) 542-6600
Mailing address
1 IVY HILL RD, LAKEWOOD, NJ 08701-5773
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00546300
NJ
Other
Enumeration date
07/09/2007
Last updated
07/09/2007
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