Individual
JORDYN MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11-26 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5634
(201) 509-8205
Mailing address
741 CHERRY ST, NEW MILFORD, NJ 07646-1401
(201) 669-8663
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00768000
NJ
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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