Individual
JESSICA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1201 N MORRIS ST, CLOVIS, NM 88101
(216) 527-7487
Mailing address
1201 N MORRIS ST, CLOVIS, NM 88101
(216) 527-7487
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL018745
PA
235Z00000X
Speech-Language Pathologist
SLP-2023-0118
NM
235Z00000X
Speech-Language Pathologist
UD191165
OH
Other
Enumeration date
04/26/2023
Last updated
12/29/2025
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