Individual
JENNIFER HERTRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
740 W GRAND RIVER AVE, BRIGHTON, MI 48116-2392
(810) 227-3588
(810) 626-4045
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004996
MI
235Z00000X
Speech-Language Pathologist
SLP.0001826
CO
Other
Enumeration date
02/06/2015
Last updated
04/25/2023
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