Individual
JESSICA RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
6035 PEACHTREE RD STE C120, DORAVILLE, GA 30360-3234
(443) 534-8817
Mailing address
33 11TH ST NE UNIT 1217, ATLANTA, GA 30309-4654
(443) 534-8817
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012762
GA
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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