Individual
JESSICA H SPELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP, TSSLD
Contact information
Practice address
18 CRESKILL PL, HUNTINGTON, NY 11743-2451
(631) 805-4666
Mailing address
18 CRESKILL PL, HUNTINGTON, NY 11743-2451
(631) 805-4666
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
030596-01
NY
Other
Enumeration date
08/11/2021
Last updated
08/30/2021
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