Most Relevant Information
Provider Data
| NPI Number: | 1003030446 |
| Provider Name: | JODIE LYNN KERTZNER M.A. CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 0097551 |
Most Important Dates
| Enumeration Date: | 04/13/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2442 KAYRON LN
NORTH BELLMORE
NY
117102116
Practice Location Phone/Fax
| Phone: | 9172928228 |
| Fax: |
Provider Mailing Location
2442 KAYRON LN
NORTH BELLMORE
NY
117102116
Provider Mailing Phone/Fax
| Phone: | 9172928228 |
| Fax: |