Doctor Name: | JACKELYN ANN CONA |
NPI Number: | 1528323763 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC/SLP |
License Number: | SL008810 |
Business Practice Address: | 14 Thornhill Rd Cherry Hill, NJ - 080032255 |
Business Phone Number: | 8569122528 |
Business Fax Number: | |
Mailing Address: | 14 Thornhill Rd, CHERRY HILL |
State: | NJ |
Postal Code: | 080032255 |
Phone Number: | 8569122528 |
Fax Number: | |
NPI Enumeration Date: | 07/12/2012 |
NPI Last Update Date: | 07/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL008810 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
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 |