Individual
MS. JEREMIE HAFITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MPHIL, C.C.C.
Contact information
Practice address
27 WILDWOOD TER, GLEN RIDGE, NJ 07028-2310
(973) 743-6032
Mailing address
27 WILDWOOD TER, GLEN RIDGE, NJ 07028-2310
(973) 743-6032
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
003095-1
NY
235Z00000X
Speech-Language Pathologist
Primary
41YS00242100
NJ
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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