Individual
JENNIFER LYNN CARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
31 MADISON AVE, LAKE HIAWATHA, NJ 07034-2134
(973) 477-0108
Mailing address
31 MADISON AVE, LAKE HIAWATHA, NJ 07034-2134
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00471200
NJ
Other
Enumeration date
06/18/2009
Last updated
08/16/2013
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