Individual
JESSICA PAIGE SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
910 N MAIN ST, EDWARDSVILLE, IL 62025-1116
(618) 581-8304
Mailing address
910 N MAIN ST, EDWARDSVILLE, IL 62025-1116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.005292
IL
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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