Individual
MRS. JESSICA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
401 KENDALL DR, LAMAR, CO 81052-3942
(719) 336-6728
(719) 336-7221
Mailing address
2506 MEMORIAL DR, LAMAR, CO 81052-4374
(801) 824-2235
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
810524236
CO
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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