MEDICARE: JACKELYN HEIM 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
1	235Z00000X	Speech-Language Pathologist	YS002710	NJ

General Provider Information

NPI Number	:	1457825010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACKELYN HEIM CCC-SLP

Provider Business Mailing Address
First Line	:	37 HEMLOCK CIR
Second Line	:
City	:	CRANFORD
State	:	NJ
Zip	:	07016-2045
Country	:	US
Telephone Number	:	908-497-0919
Fax Number	:

Provider Business Practice Location Address
First Line	:	899 MOUNTAIN AVE STE 1A
Second Line	:
City	:	SPRINGFIELD
State	:	NJ
Zip	:	07081-3403
Country	:	US
Telephone Number	:	973-218-6394
Fax Number	:

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

Provider Enumeration Date	:	01/17/2019
Last Update Date	:	01/17/2019

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1295295913 — DR. CHARLES EDWIN PARKER III PT
Practice Location Address:

899 MOUNTAIN AVE STE 2A
SPRINGFIELD, NJ
07081-3403

Practice Phone: 908-228-3632
Practice Fax:

1043258569 — DR. MICHAEL A MITACCHIONE DPT
Practice Location Address:

899 MOUNTAIN AVE STE 2A
SPRINGFIELD, NJ
07081-3403

Practice Phone: 908-228-3632
Practice Fax:

1881857175 — GHADA HUSSEIN M.D.
Practice Location Address:

899 MOUNTAIN AVE STE 2D
SPRINGFIELD, NJ
07081-3403

Practice Phone: 908-588-3765
Practice Fax: 973-218-5928

1972979839 — BRITT GUNSSER
Practice Location Address:

899 MOUNTAIN AVE STE 2A
SPRINGFIELD, NJ
07081-3403

Practice Phone: 908-228-3632
Practice Fax:

1407320773 — MRS. HOLLI TERESA HORLACHER
Practice Location Address:

899 MOUNTAIN AVE STE 1A
SPRINGFIELD, NJ
07081-3403

Practice Phone: 973-218-6394
Practice Fax:

Directions to “ JACKELYN HEIM CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.