Individual
JESSICA LYNN TICCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3721 CRESCENT CT W, WHITEHALL, PA 18052-3446
(484) 526-8350
Mailing address
1055 CETRONIA RD APT H12, BREINIGSVILLE, PA 18031-1698
(201) 887-2429
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013937
PA
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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