Jennifer Maldonado
Speech-Language Pathologist, in Staten Island, NY. Individual provider (NPI-1).
NPI number1497998793
StatusActive
Last updated in NPPESMar 9, 2020
Details
- NPI
- 1497998793
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Maldonado
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2009
- Certification date
- Mar 9, 2020
- Last updated
- Mar 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 0135541 | NY | Yes |
Practice location
195 Sinclair AveStaten Island, NY 10312-2915
Phone 917-923-7313
Mailing address
195 Sinclair AveStaten Island, NY 10312-2915
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