Doctor Name: | MISS JESSICA ANN SWEENEY |
NPI Number: | 1598948374 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. ED., CCC-SLP |
License Number: | 41YS00437800 |
Business Practice Address: | 150 New Providence Rd Neurorehabilitation Dept (fwd) Mountainside, NJ - 070922590 |
Business Phone Number: | 9082333720 |
Business Fax Number: | 9083012519 |
Mailing Address: | 150 New Providence Rd, MOUNTAINSIDE |
State: | NJ |
Postal Code: | 070922590 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/14/2007 |
NPI Last Update Date: | 12/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00437800 |
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 |