Provider Demographics
NPI:1730811209
Name:USCAMAYTA, JESSICA K (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:K
Last Name:USCAMAYTA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 CATTANO AVE APT 220
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6840
Mailing Address - Country:US
Mailing Address - Phone:201-936-8179
Mailing Address - Fax:
Practice Address - Street 1:899 MOUNTAIN AVE STE 1A
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-3403
Practice Address - Country:US
Practice Address - Phone:973-218-6394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist