Individual
MRS. JESSICA HARTIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1064 S MAIN ST BLDG 2C, WEST CREEK, NJ 08092-2914
(609) 488-2650
Mailing address
134 CEDARBROOK LN, LITTLE EGG HARBOR TWP, NJ 08087-1841
(609) 618-2945
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00913800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41YS00913800
—
NJ
Enumeration date
08/03/2017
Last updated
08/03/2017
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