Individual
JESSICA THELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10330 BUNSEN WAY, LOUISVILLE, KY 40299-2508
(502) 495-1662
(502) 495-1665
Mailing address
1003 WOODWINDS CT, GEORGETOWN, IN 47122-9088
(502) 472-1645
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3497
KY
Other
Enumeration date
09/21/2015
Last updated
01/27/2025
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