Individual
JESSICA PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
98 GLENDALE ST, NUTLEY, NJ 07110-1111
(201) 491-8777
(973) 798-2489
Mailing address
98 GLENDALE ST, NUTLEY, NJ 07110-1111
(201) 491-8777
(973) 798-2489
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00482900
NJ
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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