Active NPIIndividual providerSole proprietor

Jessica L Andre, CCC-SLP

Speech-Language Pathologist, in Ridgewood, New Jersey

NPI Number1548936271
Practice location
265 Ackerman Ave, Ridgewood, NJ 07450-4200
Fax
—
Last updated
August 22, 2021

Jessica Lynn Andre is a Speech-Language Pathologist, based in Ridgewood, NJ. Jessica Lynn Andre practices in Ridgewood, NJ and has the professional credentials of CCC-SLP. The NPI Number for Jessica Lynn Andre is 1548936271 and holds a License No. 41YS01076100 (NJ). The current practice location address for Jessica Lynn Andre is 265 Ackerman Ave, Ridgewood, NJ 07450-4200 and can be reached out via phone at 201-297-9167.

Provider Profile Details

NPI Number
1548936271
Provider Name
Jessica Lynn Andre
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
265 Ackerman Ave, Ridgewood, NJ 07450-4200
Phone Number
201-297-9167
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 22, 2021
Last Update Date
August 22, 2021
Certification Date
August 22, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
265 Ackerman Ave
Ridgewood, NJ 07450-4200
Zip
07450-4200
Phone Number
201-297-9167
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
20 Irving Pl
Waldwick, NJ 07463-1523
City
Waldwick
State
NJ
Zip
07463-1523
Phone Number
201-783-6112

License Information

License Number
41YS01076100
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 Jessica L Andre, CCC-SLP?

The NPI number of Jessica L Andre, CCC-SLP is 1548936271. It was assigned on August 22, 2021 and is currently active in the NPPES registry.

What is the specialty of Jessica L Andre, CCC-SLP?

Jessica L Andre, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS01076100.

Where does Jessica L Andre, CCC-SLP practice?

The practice location is 265 Ackerman Ave, Ridgewood, NJ 07450-4200. The office can be reached at 201-297-9167 (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 1548936271 directly on the NPPES registry website.

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