Individual
JESSE CARROLL BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 WOODLAND AVE, EWING, NJ 08638-2555
(609) 558-0970
Mailing address
106 WOODLAND AVE, EWING, NJ 08638-2555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00866100
NJ
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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