Individual
MS. DIANE DEBORAH JESSOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
202 SWANSON ROAD, UNIT 520, BOXBOROUGH, MA 01719-0334
(978) 496-5724
Mailing address
202 SWANSON RD, BOXBOROUGH, MA 01719-1334
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3404
MA
Other
Enumeration date
01/30/2007
Last updated
04/08/2015
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