Individual
JESSICA ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
711 COURT STREET, PORTSMOUTH, VA 23704
(757) 967-9926
(757) 632-6320
Mailing address
711 COURT STREET, PORTSMOUTH, VA 23704
(757) 967-9926
(757) 632-6320
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008789
VA
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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