Active NPIIndividual providerSole proprietor

Jacklin D Bloodgood

Speech-Language Pathologist, in Manahawkin, New Jersey

NPI Number1821705476
Practice location
132 Cruise RD, Manahawkin, NJ 08050-1223
Fax
—
Last updated
November 2, 2022

Jacklin Dea Bloodgood is a Speech-Language Pathologist, based in Manahawkin, NJ. Jacklin Dea Bloodgood practices in Manahawkin, NJ. The NPI Number for Jacklin Dea Bloodgood is 1821705476 and holds a License No. 41YS01081900 (NJ). The current practice location address for Jacklin Dea Bloodgood is 132 Cruise RD, Manahawkin, NJ 08050-1223 and can be reached out via phone at 732-330-4557.

Provider Profile Details

NPI Number
1821705476
Provider Name
Jacklin Dea Bloodgood
Provider Entity Type
Individual
Gender
Female
Address
132 Cruise RD, Manahawkin, NJ 08050-1223
Phone Number
732-330-4557
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 2, 2022
Last Update Date
November 2, 2022
Certification Date
November 2, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
132 Cruise RD
Manahawkin, NJ 08050-1223
Zip
08050-1223
Phone Number
732-330-4557
Manahawkin, NJ 08050Get directions →

Provider Business Mailing Address Details

Address
132 Cruise RD
Manahawkin, NJ 08050-1223
City
Manahawkin
State
NJ
Zip
08050-1223
Phone Number
732-330-4557

License Information

License Number
41YS01081900
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 Jacklin D Bloodgood?

The NPI number of Jacklin D Bloodgood is 1821705476. It was assigned on November 2, 2022 and is currently active in the NPPES registry.

What is the specialty of Jacklin D Bloodgood?

Jacklin D Bloodgood is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS01081900.

Where does Jacklin D Bloodgood practice?

The practice location is 132 Cruise RD, Manahawkin, NJ 08050-1223. The office can be reached at 732-330-4557 (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 1821705476 directly on the NPPES registry website.

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