Individual
JACLYNN POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 ROSS ST, SUITE E, SAN BENITO, TX 78586-4421
(956) 361-6000
(956) 361-6060
Mailing address
1145 ROSS ST, SUITE E, SAN BENITO, TX 78586-4421
(956) 361-6000
(956) 361-6060
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
38492
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38492
STATE LICENSE
TX
Enumeration date
10/10/2014
Last updated
10/10/2014
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