MRS. Jacqulynn Miden, M.S. CCC,SLP- TSSLD
NPI #1902370612 in Howard Beach, New York
Provider Information
- NPI Number
- 1902370612
- Entity Type
- Individual
- Name
- MRS. Jacqulynn Miden, M.S. CCC,SLP- TSSLD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. CCC,SLP- TSSLD
- Enumeration Date
- Jan 15, 2019
- Last Updated
- Sep 21, 2022
Practice Location
- Address
- 10104 158TH AVE
- City
- Howard Beach
- State
- New York
- ZIP Code
- 11414-3212
- Phone
- (917) 991-0287
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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