Individual
JESSICA COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
4204A ADAMS AVE, SAN DIEGO, CA 92116-2300
(619) 431-5049
Mailing address
4204A ADAMS AVE, SAN DIEGO, CA 92116-2300
(619) 431-5049
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6021
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235ZOOOOOX
SPEECH THERAPY
CA
Enumeration date
10/22/2020
Last updated
10/22/2020
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