Individual
MRS. JESSICA RENEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2026 E SUSQUEHANNA AVE, PHILADELPHIA, PA 19125-1526
(919) 414-9420
Mailing address
2026 E SUSQUEHANNA AVE, PHILADELPHIA, PA 19125-1526
(267) 414-4930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/20/2025
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