| Organization Name: | SHARON JOLLY AUDIOLOGY & SPEECH LANGUAGE PATHOLOGY, LLC |
| NPI Number: | 1942435607 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHARON A JOLLY (OWNER) |
| Mailing Address: | 450 Gidney Ave Suite 201 Newburgh |
| State: | NY US |
| Postal Code: | 125503116 |
| Phone Number: | 8459282579 |
| Fax Number: | |
| NPI Enumeration Date: | 05/26/2009 |
| NPI Last Update Date: | 11/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 003002-1 |
| 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 |