MRS. Jaclyn Marie Grupp, CCC-SLP

NPI #1538559059 in Wantagh, New York

Provider Information

NPI Number
1538559059
Entity Type
Individual
Name
MRS. Jaclyn Marie Grupp, CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
CCC-SLP
Enumeration Date
Feb 4, 2015
Last Updated
Feb 4, 2015

Practice Location

Address
2375 RIVERSIDE DR
ZIP Code
11793-4541
Phone
(516) 672-9644

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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