Most Relevant Information
Provider Data
| NPI Number: | 1003014325 |
| Provider Name: | JESSICA HANSEL SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 41YS00546300 |
Most Important Dates
| Enumeration Date: | 07/09/2007 |
| Last Updated: | 07/09/2007 |
Provider Practice Location
14 BRIDGEWATERS DRIVE
SUITE A
OCEANPORT
NJ
07757
Practice Location Phone/Fax
| Phone: | 7325426600 |
| Fax: |
Provider Mailing Location
1 IVY HILL RD
LAKEWOOD
NJ
087015773
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |