Mortenson, Jacqueline Nicole

Mortenson, Jacqueline Nicole is an individual health care provider with primary practice located at 14 Research Way , East Setauket NY 11733-3453. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Mortenson, Jacqueline Nicole can be contacted via phone (631) 331-6400.

Contact Information

Primary practice address
14 Research Way East Setauket NY 11733-3453
Phone: (631) 331-6400
Fax: (631) 331-6865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 029121 New York

Profile Details

NPI number 1295214245
LBN Legal business name Mortenson, Jacqueline Nicole
Credentials MA CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2018
Last updated Nov 19th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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