Individual
JESSICA HUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4413 COX RD, GLEN ALLEN, VA 23060-3326
(804) 406-4322
Mailing address
27 HILLCROFT RD, NEWARK, DE 19711-5559
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04-0000459
DE
235Z00000X
Speech-Language Pathologist
2202010565
VA
Other
Enumeration date
06/15/2015
Last updated
09/20/2022
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