Jennifer Carlisle Walk M.A., CCC-SLP

NPI 1043596554 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1043596554
Gender Female
Enumeration Date 10/27/2011
Last Updated 10/27/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
14 BRIDGEWATERS DR
SUITE A
OCEANPORT NJ, 07757-1162, US
Phone (732) 542-6600
Fax (732) 542-6606
Business Location
10 TEABURY LN
OAKHURST NJ, 07755-1250, US
Phone (732) 222-5797
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State New Jersey
License Number 41YS00290000
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According to our database, Mrs. Jennifer Carlisle Walk M.A., CCC-SLP NPI is 1043596554, taxonomy code is 235Z00000X and license number is 41YS00290000, license state is located at New Jersey. Jennifer Carlisle Walk M.A., CCC-SLP physically located at 14 Bridgewaters Dr, Oceanport NJ, 07757-1162. NPI Number Jennifer Carlisle Walk M.A., CCC-SLP has the Individual type.

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1043596554 NPI number is provided on an as is basis without warranty of any kind. 1043596554 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Carlisle Walk M.A., CCC-SLP are for informational purposes only.