Individual
JESSICA L PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1848 REISTERSTOWN RD STE A, PIKESVILLE, MD 21208-1379
(443) 360-5527
(877) 353-0384
Mailing address
6202 GIST AVE, BALTIMORE, MD 21215-3608
(443) 360-5527
(877) 353-0384
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10183
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10183
MARYLAND SLP LICENSE #
MD
Enumeration date
06/03/2022
Last updated
06/03/2022
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