Provider Demographics
NPI:1912141839
Name:ORR, JESSICA
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:ORR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 23
Mailing Address - Street 2:THE SPEECH AND LANGUAGE CONNECTION
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-0023
Mailing Address - Country:US
Mailing Address - Phone:908-272-4321
Mailing Address - Fax:
Practice Address - Street 1:7 MITCHELL PL
Practice Address - Street 2:THE SPEECH AND LANGUAGE CONNECTION
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-3342
Practice Address - Country:US
Practice Address - Phone:908-272-4321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00498700235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist