Individual
JESSICA WEBBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
708 E WOODLAND DR, SAINT JOSEPH, IL 61873-9301
(785) 236-0835
(866) 806-1090
Mailing address
708 E WOODLAND DR, SAINT JOSEPH, IL 61873-9301
(785) 236-0835
(866) 806-1090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
13819
CA
235Z00000X
Speech-Language Pathologist
Primary
146.015585
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13819
LICENSE
CA
01
—
146.015585
IDFPR
IL
Enumeration date
10/03/2019
Last updated
07/28/2021
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