Organization
SPEECH QUEST JCNY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANA EVANS CCC-SLP (OWNER)
(347) 423-7631
Entity
Organization
Contact information
Practice address
581 JERSEY AVE, JERSEY CITY, NJ 07302-2424
(201) 381-1607
(201) 216-9171
Mailing address
292 CLERK ST, JERSEY CITY, NJ 07304-2715
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00799600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356605570
COMMERCIAL INSURANCE
NY
Enumeration date
04/25/2018
Last updated
06/16/2018
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