Most Relevant Information
Provider Data
| NPI Number: | 1003676149 |
| Provider Name: | JACQUELINE MARIE WOLF MS CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 012276-01 |
Most Important Dates
| Enumeration Date: | 03/19/2024 |
| Last Updated: | 03/19/2024 |
Provider Practice Location
560 BROADHOLLOW RD STE 304
MELVILLE
NY
117473702
Practice Location Phone/Fax
| Phone: | 5162222010 |
| Fax: |
Provider Mailing Location
38 MATSUNAYE DR
MEDFORD
NY
117634132
Provider Mailing Phone/Fax
| Phone: | 6318065935 |
| Fax: |