Individual
JESSICA PAMPERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2450 ATLANTA HWY STE 401, CUMMING, GA 30040-1254
(470) 632-3413
(678) 658-9094
Mailing address
1973 TRIPP RD, WOODSTOCK, GA 30188-1936
(770) 597-5031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012862
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15737983
CAQH
GA
Enumeration date
10/26/2022
Last updated
12/12/2023
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