Individual
JESSIE CALLISTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2722 PENINSULA DR, ATHENS, AL 35611-8687
(256) 468-7943
Mailing address
2722 PENINSULA DR, ATHENS, AL 35611-8687
(256) 468-7943
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4363
AL
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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