Individual
JESSICA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3761 JOHNSON HALL DR, MASONIC HOME, KY 40041-9998
(502) 293-1695
Mailing address
2612 LANDOR AVE, LOUISVILLE, KY 40205-2334
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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