Most Relevant Information
Provider Data
| NPI Number: | 1003060997 |
| Provider Name: | JESSICA M HOGAN M.S.CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 017992-1 |
Most Important Dates
| Enumeration Date: | 11/05/2008 |
| Last Updated: | 11/05/2008 |
Provider Practice Location
1133 PLEASANTVILLE RD
BRIARCLIFF MANOR
NY
105101634
Practice Location Phone/Fax
| Phone: | 9149621348 |
| Fax: | 9142439573 |
Provider Mailing Location
1133 PLEASANTVILLE RD
BRIARCLIFF MANOR
NY
105101634
Provider Mailing Phone/Fax
| Phone: | 9149621348 |
| Fax: | 9142439573 |