Individual
JESSICA M HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED CCC-SLP
Contact information
Practice address
89 STUYVESANT AVE, LYNDHURST, NJ 07071-1016
(201) 321-9861
Mailing address
89 STUYVESANT AVE, LYNDHURST, NJ 07071-1016
(201) 321-9861
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00735900
NJ
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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