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NPI Code Detail

MEDICARE: MISS JESSICA MCFADDEN M.S., CCC-SLP

MEDICARE: MISS JESSICA MCFADDEN M.S., CCC-SLP
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
1235Z00000XSpeech-Language PathologistSL009793PA
2235Z00000XSpeech-Language Pathologist41YS00688300NJ

General Provider Information

NPI Number : 1922385145
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JESSICA MCFADDEN M.S., CCC-SLP
Provider Business Mailing Address
First Line : 423 MANTOLOKING RD
Second Line :
City : BRICK
State : NJ
Zip : 08723-5776
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2 HOLLYWOOD BLVD N STE 8
Second Line :
City : FORKED RIVER
State : NJ
Zip : 08731-4842
Country : US
Telephone Number : 609-200-1118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2011
Last Update Date : 09/22/2023

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Directions to “ MISS JESSICA MCFADDEN M.S., CCC-SLP” Practice Location

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