Doctor Name: | MS. JEREMIE HAFITZ |
NPI Number: | 1497194880 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, MPHIL, C.C.C. |
License Number: | 003095-1 |
Business Practice Address: | 27 Wildwood Ter Glen Ridge, NJ - 070282310 |
Business Phone Number: | 9737436032 |
Business Fax Number: | |
Mailing Address: | 27 Wildwood Ter, GLEN RIDGE |
State: | NJ |
Postal Code: | 070282310 |
Phone Number: | 9737436032 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2013 |
NPI Last Update Date: | 06/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 003095-1 |
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 |