Basic Information
Provider Information
NPI: 1003143173
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FERNICOLA
FirstName: HOPE
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: M.A. CCC SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 115 MORRISTOWN RD
Address2: ROUTE 202
City: BERNARDSVILLE
State: NJ
PostalCode: 079242328
CountryCode: US
TelephoneNumber: 9087667888
FaxNumber: 9087661307
Practice Location
Address1: 115 MORRISTOWN RD
Address2: ROUTE 202
City: BERNARDSVILLE
State: NJ
PostalCode: 079242328
CountryCode: US
TelephoneNumber: 9087667888
FaxNumber: 9087661307
Other Information
ProviderEnumerationDate: 11/11/2009
LastUpdateDate: 11/20/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X41YS00402200NJY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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