Active NPIIndividual provider

Jaclyn N Bougades

Speech-Language Pathologist, in Montclair, New Jersey

NPI Number1013741917
Practice location
17 Watchung Plz, Montclair, NJ 07042-4117
Fax
—
Last updated
September 2, 2024

Jaclyn Nicole Bougades is a Speech-Language Pathologist, based in Montclair, NJ. Jaclyn Nicole Bougades practices in Montclair, NJ. The NPI Number for Jaclyn Nicole Bougades is 1013741917 and holds a License No. TL-4574 (NJ). The current practice location address for Jaclyn Nicole Bougades is 17 Watchung Plz, Montclair, NJ 07042-4117 and can be reached out via phone at 973-744-0804.

Provider Profile Details

NPI Number
1013741917
Provider Name
Jaclyn Nicole Bougades
Provider Entity Type
Individual
Gender
Female
Address
17 Watchung Plz, Montclair, NJ 07042-4117
Phone Number
973-744-0804
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
September 2, 2024
Last Update Date
September 2, 2024
Certification Date
September 1, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Watchung Plz
Montclair, NJ 07042-4117
Zip
07042-4117
Phone Number
973-744-0804
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
60 Branford RD
Whippany, NJ 07981-1324
City
Whippany
State
NJ
Zip
07981-1324
Phone Number
973-908-4750

License Information

License Number
TL-4574
License State
NJ
Taxonomy
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 Jaclyn N Bougades?

The NPI number of Jaclyn N Bougades is 1013741917. It was assigned on September 2, 2024 and is currently active in the NPPES registry.

What is the specialty of Jaclyn N Bougades?

Jaclyn N Bougades is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number TL-4574.

Where does Jaclyn N Bougades practice?

The practice location is 17 Watchung Plz, Montclair, NJ 07042-4117. The office can be reached at 973-744-0804 (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 1013741917 directly on the NPPES registry website.

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