Active NPIIndividual providerSole proprietor

Jacqueline A Imbrogno, MS, CCC-SLP/L

Speech-Language Pathologist, in Audubon, New Jersey

NPI Number1003509282
Practice location
57 E Merchant St, Audubon, NJ 08106-1059
Fax
—
Last updated
June 7, 2023

Jacqueline Ann Imbrogno is a Speech-Language Pathologist, based in Audubon, NJ. Jacqueline Ann Imbrogno practices in Audubon, NJ and has the professional credentials of MS, CCC-SLP/L. The NPI Number for Jacqueline Ann Imbrogno is 1003509282 and holds a License No. SL009251 (PA). The current practice location address for Jacqueline Ann Imbrogno is 57 E Merchant St, Audubon, NJ 08106-1059 and can be reached out via phone at 610-804-8382.

Provider Profile Details

NPI Number
1003509282
Provider Name
Jacqueline Ann Imbrogno
Credential
MS, CCC-SLP/L
Provider Entity Type
Individual
Gender
Female
Address
57 E Merchant St, Audubon, NJ 08106-1059
Phone Number
610-804-8382
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Other Names
Jacqueline Ann Greto, MS, CCC-SLP/L (Former Name)
Provider Enumeration Date
June 1, 2023
Last Update Date
June 7, 2023
Certification Date
June 7, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
57 E Merchant St
Audubon, NJ 08106-1059
Zip
08106-1059
Phone Number
610-804-8382
Audubon, NJ 08106Get directions →

Provider Business Mailing Address Details

Address
2230 Route 70 W Ste 2
1141
Cherry Hill, NJ 08002
City
Cherry Hill
State
NJ
Zip
08002
Phone Number
610-804-8382

License Information

License Number (1)
SL009251
License State (1)
PA
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
41YS01119300
License State (2)
NJ
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jacqueline A Imbrogno, MS, CCC-SLP/L?

The NPI number of Jacqueline A Imbrogno, MS, CCC-SLP/L is 1003509282. It was assigned on June 1, 2023 and is currently active in the NPPES registry.

What is the specialty of Jacqueline A Imbrogno, MS, CCC-SLP/L?

Jacqueline A Imbrogno, MS, CCC-SLP/L is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in PA under license number SL009251.

Where does Jacqueline A Imbrogno, MS, CCC-SLP/L practice?

The practice location is 57 E Merchant St, Audubon, NJ 08106-1059. The office can be reached at 610-804-8382 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003509282 directly on the NPPES registry website.

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