O'Connell, Jessica Mary

O'Connell, Jessica Mary is an sole proprietor health care provider with primary practice located at 1 Craig B Gariepy Ave , Islip Terrace NY 11752-2820. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. O'Connell, Jessica Mary can be contacted via phone (631) 650-6545.

Contact Information

Primary practice address
1 Craig B Gariepy Ave Islip Terrace NY 11752-2820
Phone: (631) 650-6545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New York
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 030896 New York

Profile Details

NPI number 1891307633
LBN Legal business name O'Connell, Jessica Mary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2020
Last updated Aug 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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