Provider Demographics
NPI:1871279976
Name:HOCKER, JANE (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:HOCKER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 N BURGHLEY AVE
Mailing Address - Street 2:
Mailing Address - City:VENTNOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08406-1303
Mailing Address - Country:US
Mailing Address - Phone:609-922-6808
Mailing Address - Fax:
Practice Address - Street 1:6814 TILTON RD
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-4490
Practice Address - Country:US
Practice Address - Phone:609-646-0793
Practice Address - Fax:908-625-5000
Is Sole Proprietor?:No
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00423900235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist