Individual
JORDAN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC- SLP
Contact information
Practice address
766 BROAD ST, SHREWSBURY, NJ 07702-4203
(855) 428-8246
Mailing address
611 PARK PLACE AVE, BRADLEY BEACH, NJ 07720-1436
(610) 529-9322
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01086700
NJ
Other
Enumeration date
01/02/2022
Last updated
01/02/2022
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