Individual
JESSICA MARIE CODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
265 ACKERMAN AVE, RIDGEWOOD, NJ 07450-4200
(201) 297-9167
Mailing address
170 JOCELYN AVE, WOOD RIDGE, NJ 07075-1401
(201) 321-8902
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01069000
NJ
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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