Individual
JESSICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
10605 BRICE CT, FREDERICKSBURG, VA 22407-7725
(804) 380-5890
Mailing address
10605 BRICE CT, FREDERICKSBURG, VA 22407-7725
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007348
VA
Other
Enumeration date
02/02/2018
Last updated
05/31/2022
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