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Organization
JESSICA M. BOOTH M.S.CCC-SLP & ASSOC. ,P.A.
Active
Organization
JESSICA M. BOOTH M.S.CCC-SLP & ASSOC. ,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA MARIE BOOTH M. S. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST/OWNER)
(954) 319-7609
Entity
Organization
Contact information
Practice address
7782 N SOUTHWOOD CIR, DAVIE, FL 33328-3810
(954) 319-7609
(440) 965-4303
Mailing address
7782 N SOUTHWOOD CIR, DAVIE, FL 33328-3810
(954) 319-7609
(440) 965-4303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 8417
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023108891
INDIV. NPI
FL
05
—
890534700
—
FL
Enumeration date
05/25/2009
Last updated
07/14/2009
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