Individual
JINA NAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 OXFORD DR, EAST WINDSOR, NJ 08520-2124
(408) 205-4305
Mailing address
54 OXFORD DR, EAST WINDSOR, NJ 08520-2124
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
034747
NY
235Z00000X
Speech-Language Pathologist
Primary
41YS01281400
NJ
235Z00000X
Speech-Language Pathologist
8049
CT
235Z00000X
Speech-Language Pathologist
SL018346
PA
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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