Individual
MISS JENNIFER RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFY-SLP
Contact information
Practice address
20 SUMMIT ST, WEST ORANGE, NJ 07052-1501
(973) 736-2000
Mailing address
1501 UNDERCLIFF AVE, A, BRONX, NY 10453-7144
(347) 701-7249
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-1735
NJ
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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