Individual
JENNIFER PEDICONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1501 HAMBURG TPKE, WAYNE, NJ 07470-4032
(973) 800-8515
Mailing address
10 ROOSEVELT PL APT 41, MONTCLAIR, NJ 07042-3347
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00918300
NJ
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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