Most Relevant Information
Provider Data
| NPI Number: | 1003509282 |
| Provider Name: | JACQUELINE ANN IMBROGNO MS, CCC-SLP/L |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SL009251 |
Most Important Dates
| Enumeration Date: | 06/01/2023 |
| Last Updated: | 06/07/2023 |
Provider Practice Location
57 E MERCHANT ST
AUDUBON
NJ
081061059
Practice Location Phone/Fax
| Phone: | 6108048382 |
| Fax: |
Provider Mailing Location
2230 ROUTE 70 W STE 2
1141
CHERRY HILL
NJ
08002
Provider Mailing Phone/Fax
| Phone: | 6108048382 |
| Fax: |