Individual
JESSICA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP ASSISTANT
Contact information
Practice address
1136 HIDDEN LAKES WAY, ROCKWALL, TX 75087-6113
(214) 724-6211
Mailing address
1136 HIDDEN LAKES WAY, ROCKWALL, TX 75087-6113
(214) 724-6211
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
36024
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36024
STATE BOARD OF EXAMINERS SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY
TX
Enumeration date
12/08/2015
Last updated
03/16/2016
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