Doctor Name: | JACQUELINE LABELSON |
NPI Number: | 1316166838 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 41YS00265600 |
Business Practice Address: | 300 2nd Ave Long Branch, NJ - 077406303 |
Business Phone Number: | 7329237790 |
Business Fax Number: | 7329237104 |
Mailing Address: | Po Box 15378, NEWARK |
State: | NJ |
Postal Code: | 071925378 |
Phone Number: | 7325577160 |
Fax Number: | 7325577109 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00265600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |