Individual
MS. JESSICA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
40 UNDERCLIFF RD, MILLBURN, NJ 07041-1510
(347) 497-3757
Mailing address
40 UNDERCLIFF RD, MILLBURN, NJ 07041-1510
(347) 497-3757
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
019224
NY
235Z00000X
Speech-Language Pathologist
2202007020
VA
235Z00000X
Speech-Language Pathologist
Primary
41YS01212700
NJ
235Z00000X
Speech-Language Pathologist
SLP000665
DC
Other
Enumeration date
01/20/2012
Last updated
12/31/2024
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