Whalio Doctors

NPI 1043596554

Jennifer Carlisle Walk, MACCCSLP

Practitioner Speech-Language Pathologist Oceanport, NJ

Practice location

Address
14 Bridgewaters Dr Suite a, Oceanport, NJ 07757-1162
Phone
(732) 542-6600
Fax
(732) 542-6606
Mailing address
10 Teabury Ln, Oakhurst, NJ 07755-1250

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 41YS00290000 (NJ)

Registry record

NPI
1043596554
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Oct 2011
Record last updated
27 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.