Organization
JESSICA WYSOKINSKI
Active
Organization
JESSICA WYSOKINSKI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WYSOKINSKI (SPEECH LANGUAGE PATHOLOGIST)
(732) 233-6327
Entity
Organization
Contact information
Practice address
59 PEDEE PL, MIDDLETOWN, NJ 07748-2319
(732) 233-6327
Mailing address
59 PEDEE PL, MIDDLETOWN, NJ 07748-2319
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
SLP.5885SLP
SC
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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