Individual
JESSICA SOEHNLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
20740 S ELLSWORTH RD, QUEEN CREEK, AZ 85242-9058
(480) 987-5990
Mailing address
175 E SPUR AVE, GILBERT, AZ 85296-2241
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1536
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP1536
LICENSE
AZ
Enumeration date
10/27/2006
Last updated
07/08/2007
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