Individual
JAKEYSHA TAMARA PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5417 WESLEYAN DR, VIRGINIA BEACH, VA 23455-6922
(757) 490-6672
Mailing address
1423 E OCEAN VIEW AVE APT 22, NORFOLK, VA 23503-2353
(912) 308-7673
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
10133
MD
235Z00000X
Speech-Language Pathologist
Primary
2202008195
VA
Other
Enumeration date
04/26/2024
Last updated
09/27/2024
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