Active NPIIndividual providerSole proprietor

Susan Jarvis-Hagstrom, MA, CCC-SLP

Speech-Language Pathologist, in Pennington, New Jersey

NPI Number1588915888
Practice location
343 Pennington Harbourton RD, Pennington, NJ 08534
Fax
—
Last updated
June 9, 2018

Susan Jarvis-Hagstrom is a Speech-Language Pathologist, based in Pennington, NJ. Susan Jarvis-Hagstrom practices in Pennington, NJ and has the professional credentials of MA, CCC-SLP. The NPI Number for Susan Jarvis-Hagstrom is 1588915888 and holds a License No. 41YS00029500 (NJ). The current practice location address for Susan Jarvis-Hagstrom is 343 Pennington Harbourton RD, Pennington, NJ 08534 and can be reached out via phone at 609-213-0221.

Provider Profile Details

NPI Number
1588915888
Provider Name
Susan Jarvis-Hagstrom
Credential
MA, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
343 Pennington Harbourton RD, Pennington, NJ 08534
Phone Number
609-213-0221
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 26, 2012
Last Update Date
June 9, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
343 Pennington Harbourton RD
Pennington, NJ 08534
Zip
08534
Phone Number
609-213-0221
Pennington, NJ 08534Get directions →

Provider Business Mailing Address Details

Address
343 Pennington Harbourton RD
Pennington, NJ 08534-4009
City
Pennington
State
NJ
Zip
08534-4009
Phone Number
609-213-0221

License Information

License Number
41YS00029500
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 Susan Jarvis-Hagstrom, MA, CCC-SLP?

The NPI number of Susan Jarvis-Hagstrom, MA, CCC-SLP is 1588915888. It was assigned on September 26, 2012 and is currently active in the NPPES registry.

What is the specialty of Susan Jarvis-Hagstrom, MA, CCC-SLP?

Susan Jarvis-Hagstrom, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00029500.

Where does Susan Jarvis-Hagstrom, MA, CCC-SLP practice?

The practice location is 343 Pennington Harbourton RD, Pennington, NJ 08534. The office can be reached at 609-213-0221 (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 1588915888 directly on the NPPES registry website.

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