| Doctor Name: | MISS JENNIFER RIVERA |
| NPI Number: | 1659604965 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFY-SLP |
| License Number: | TL-1735 |
| Business Practice Address: | 20 Summit St West Orange, NJ - 070521501 |
| Business Phone Number: | 9737362000 |
| Business Fax Number: | |
| Mailing Address: | 1501 Undercliff Ave, A BRONX |
| State: | NY |
| Postal Code: | 104537144 |
| Phone Number: | 3477017249 |
| Fax Number: | |
| NPI Enumeration Date: | 09/18/2009 |
| NPI Last Update Date: | 09/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | TL-1735 |
| 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 |