Individual
JESSICA SOUCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
534 TOWN ST, MOODUS, CT 06469-1101
(860) 873-1455
Mailing address
319 MARGARITE RD, MIDDLETOWN, CT 06457-5454
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005160
CT
Other
Enumeration date
12/07/2015
Last updated
08/28/2025
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