Individual
JESSICA ROSENBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
10701 MAIN ST, FAIRFAX, VA 22030-6904
(703) 273-7705
Mailing address
1600 S JOYCE ST APT 405, ARLINGTON, VA 22202-5107
(973) 270-7857
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008629
VA
235Z00000X
Speech-Language Pathologist
SLP001158
DC
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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