Individual
JESSICA E THURMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1102 ROSE HILL DR, CHARLOTTESVILLE, VA 22903-5128
(434) 979-8628
(434) 979-8536
Mailing address
1102 ROSE HILL DR, CHARLOTTESVILLE, VA 22903-5128
(434) 979-8628
(434) 979-8536
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000361
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2204000361
STATE LICENSE
VA
Enumeration date
08/08/2019
Last updated
08/08/2019
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