Individual
JACQUELINE PORTNOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 AIDAN LN, JACKSON, NJ 08527-3786
(917) 991-9590
Mailing address
20 WOODMERE CT, FREEHOLD, NJ 07728-4016
(732) 675-1465
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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