Individual
MS. JACQUELINE LEE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
35 S GILBERT ST, TINTON FALLS, NJ 07701-4954
(732) 842-3050
(732) 530-0731
Mailing address
PO BOX 8519, RED BANK, NJ 07701-8519
(732) 460-9840
(732) 460-9848
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
41YA00105300
NJ
Other
Enumeration date
08/09/2019
Last updated
05/01/2025
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