Basic Information
| Provider Information | |||||||||
| NPI: | 1003143173 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FERNICOLA | ||||||||
| FirstName: | HOPE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | M.A. CCC SLP | ||||||||
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| 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 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 41YS00402200 | NJ | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.