MEDICARE: MRS. JENNIFER SALZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	41YS00453600	NJ

General Provider Information

NPI Number	:	1013309194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER SALZ

Provider Business Mailing Address
First Line	:	635 COLEMAN PL
Second Line	:
City	:	WESTFIELD
State	:	NJ
Zip	:	07090-4312
Country	:	US
Telephone Number	:	917-533-4053
Fax Number	:

Provider Business Practice Location Address
First Line	:	635 COLEMAN PL
Second Line	:
City	:	WESTFIELD
State	:	NJ
Zip	:	07090-4312
Country	:	US
Telephone Number	:	917-533-4053
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2015
Last Update Date	:	02/25/2015

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Directions to “ MRS. JENNIFER SALZ ” Practice Location

Language	Start Address	Practice Location

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