Doctor Name: | MRS. JESSICA ROSE BENSON |
NPI Number: | 1477820611 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP, CBIS |
License Number: | 018746-1 |
Business Practice Address: | 18-01 Pollitt Dr Fair Lawn, NJ - 074102813 |
Business Phone Number: | 2014784200 |
Business Fax Number: | |
Mailing Address: | 18-01 Pollitt Dr, FAIR LAWN |
State: | NJ |
Postal Code: | 074102813 |
Phone Number: | 2014784200 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2011 |
NPI Last Update Date: | 03/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 018746-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
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 |