Individual
JESSICA LETZIG BERKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1900 ALDERSGATE RD, LITTLE ROCK, AR 72205-3906
(501) 821-6116
Mailing address
1900 ALDERSGATE RD, LITTLE ROCK, AR 72205-3906
(501) 821-6116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2379
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157927721
—
AR
01
—
5B982
BLUE CROSS BLUE SHIELD
AR
Enumeration date
02/27/2007
Last updated
03/26/2013
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