Individual
JESSICA LYNN BERDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
840 SW 4TH AVE, ONTARIO, OR 97914-2633
(541) 881-7330
Mailing address
3992 BONDS CREEK RD, PENNSBORO, WV 26415-6115
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016628
OR
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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