Individual
JESSICA M SALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
116 VILLA VIEW CT, BRENTWOOD, TN 37027-3919
(248) 217-4828
Mailing address
116 VILLA VIEW CT, BRENTWOOD, TN 37027-3919
(248) 217-4828
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146012592
IL
235Z00000X
Speech-Language Pathologist
Primary
5856
TN
Other
Enumeration date
07/09/2015
Last updated
08/05/2019
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