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Contact Information

JENNIFER N PELACCIO, M.S., CCC-SLP
109 BROADWAY
APARTMENT D
MAYBROOK, NY12543-1032
 Phone: 845-661-5199
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for JENNIFER N PELACCIO · (Female)

NPI Number 1619257128
Status Active
Credentials M.S., CCC-SLP
Entity Individual
Enumeration date 08/29/2011
Last updated 02/02/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 019991
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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