Individual
MRS. STACEY HANDLER JESSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
5291 E 60TH AVE, COMMERCE CITY, CO 80022-3203
(303) 853-3264
Mailing address
9067 W 101ST AVE, BROOMFIELD, CO 80021-3870
(303) 907-9364
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24462328
CO
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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