Individual
JESSICA BROOKS RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-2700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7354-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100421800
—
WI
Enumeration date
06/24/2026
Last updated
07/14/2026
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