Provider Demographics
NPI:1932500469
Name:FRIEDMAN, JENNA (MS)
Entity Type:Individual
Prefix:MRS
First Name:JENNA
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:JENNA
Other - Middle Name:HELEN
Other - Last Name:GALLANTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 BRISTOL CT
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-2732
Mailing Address - Country:US
Mailing Address - Phone:732-343-0864
Mailing Address - Fax:
Practice Address - Street 1:171 MADISON AVE FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-400-0383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-16
Last Update Date:2018-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist