MRS. Jacqueline Nicole Mortenson, MA CCC-SLP
NPI #1295214245 in East Setauket, New York
Provider Information
- NPI Number
- 1295214245
- Entity Type
- Individual
- Name
- MRS. Jacqueline Nicole Mortenson, MA CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA CCC-SLP
- Enumeration Date
- Aug 10, 2018
- Last Updated
- Nov 19, 2019
Practice Location
- Address
- 14 RESEARCH WAY
- City
- East Setauket
- State
- New York
- ZIP Code
- 11733-3453
- Phone
- (631) 331-6400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Speech-Language Pathologist |
Additional Practice Locations
222 E Middle Country Rd
Smithtown, NY, 11787-2871
(631) 525-7514
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