Individual
MRS. JESSICA RUTH SIERSCHULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1001 E ALEX BELL RD, CENTERVILLE, OH 45459-2637
(937) 436-9700
Mailing address
5798 ANNE LN, DAYTON, OH 45459-1654
(330) 328-7135
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP9038
OH
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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