Individual
JESSICA GORNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3712 E LATHAM CT, GILBERT, AZ 85297-3017
(602) 743-8815
Mailing address
3712 E LATHAM CT, GILBERT, AZ 85297-3017
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA10207
AZ
235Z00000X
Speech-Language Pathologist
Primary
TSLP10207
AZ
Other
Enumeration date
09/05/2016
Last updated
09/04/2023
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