Individual
JESSICA ANNE SPONSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6731 W 121ST ST, OVERLAND PARK, KS 66209-2003
(913) 239-8777
Mailing address
1401 S REECE RD, GODDARD, KS 67052-9485
(316) 558-2193
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4511
KS
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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