Individual
JESSICA E LUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 WESTMINSTER PL, OLD TAPPAN, NJ 07675-6863
(201) 663-0598
Mailing address
20 WESTMINSTER PL, OLD TAPPAN, NJ 07675-6863
(201) 663-0598
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
031282
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/28/2020
Last updated
10/28/2021
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