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Contact Information

JESSICA MORTENSON
1931 BLACK ROCK TPKE
FAIRFIELD, CT06825-3506
 Phone: 203-384-8681
 Fax: 203-384-0722
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for JESSICA MORTENSON · (Female)

NPI Number 1871929596
Status Active
Credentials
Entity Individual
Enumeration date 09/26/2013
Last updated 01/03/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 004737
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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