Individual
MRS. JESSICA GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1645 CHERRY AVE, CHARLOTTESVILLE, VA 22903-3704
(434) 245-2525
(434) 245-2617
Mailing address
1645 CHERRY AVE, CHARLOTTESVILLE, VA 22903-3704
(434) 245-2525
(434) 245-2617
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007059
VA
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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