Individual
JESSICA LEIGH NOREIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6901 N CHARLES ST, TOWSON, MD 21204-3780
(443) 809-4554
Mailing address
4637 HUDSON ST, BALTIMORE, MD 21224-3060
(412) 495-8046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09196
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09196
SLP LICENSE
MD
Enumeration date
11/12/2019
Last updated
07/21/2023
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