Organization
JEREMIE HAFITZ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIE HAFITZ MPHIL, C.C.C. (SPEECH-LANGUAGE PATHOLOGIST)
(973) 743-6032
Entity
Organization
Contact information
Practice address
27 WILDWOOD TER, GLEN RIDGE, NJ 07028-2310
(973) 743-6032
(973) 276-9062
Mailing address
27 WILDWOOD TER, GLEN RIDGE, NJ 07028-2310
(973) 743-6032
(973) 276-9062
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS00242100
SPEECH LANGUAGE PATHOLOGY LICENSE
NJ
Enumeration date
09/17/2018
Last updated
09/17/2018
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