Individual
JESSICA M MENNELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
24 WOODLAND RD, JAMESBURG, NJ 08831-1344
(732) 501-8120
Mailing address
24 WOODLAND RD, JAMESBURG, NJ 08831-1344
(732) 501-8120
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00436100
NJ
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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