Russo, Jessica

Russo, Jessica is an individual health care provider with primary practice located at 208 Harristown Rd , Glen Rock NJ 07452-3308. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Russo, Jessica can be contacted via phone (201) 297-9167.

Contact Information

Primary practice address
208 Harristown Rd Glen Rock NJ 07452-3308
Phone: (201) 297-9167
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 41YS01240200 New Jersey

Profile Details

NPI number 1134998107
LBN Legal business name Russo, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 1st, 2024
Last updated Jan 1st, 2024 - about last year

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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