Individual
JACOB LEITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CCC-SLP
Contact information
Practice address
26 PINE BLVD, SUITE 4, LAKEWOOD, NJ 08701-5284
(732) 410-7820
(732) 410-7821
Mailing address
26 PINE BLVD, SUITE 4, LAKEWOOD, NJ 08701-5284
(732) 410-7820
(732) 410-7821
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00507600
NJ
Other
Enumeration date
02/01/2007
Last updated
12/13/2013
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