JESSICA RAE EBERHART

LAKE RONKONKOMA, NY
NPI1649819392
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2019-12-29
Last Update Date2019-12-29
Business Address
JESSICA RAE EBERHART M.S. CCC-SLP
622 HAWKINS AVE
LAKE RONKONKOMA, NY 11779-2374
Phone number: 631-240-3579
Mailing Address
JESSICA RAE EBERHART M.S. CCC-SLP
115 VIRGINIA AVE
LAKE GROVE, NY 11755-2824
Phone number: