Individual
JENNIFER C THOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
142 N VIENNA AVE, EGG HARBOR CITY, NJ 08215-3243
(609) 515-5882
Mailing address
142 N VIENNA AVE, EGG HARBOR CITY, NJ 08215-3243
(609) 515-5882
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00567400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS00567400
NEW JERSEY STATE LICENSE: SPEECH-LANGUAGE PATHOLOGIST
NJ
Enumeration date
04/16/2018
Last updated
04/16/2018
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