Individual
JASMINE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
270 PHILADELPHIA ST, INDIANA, PA 15701-2052
(724) 349-5070
(724) 349-8368
Mailing address
1015 PENNSYLVANIA AVE, IRWIN, PA 15642-3737
(866) 287-2036
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL016736
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SL016736
SPEECH LANGUAGE PATHOLOGY LICENSE
PA
Enumeration date
07/21/2021
Last updated
12/16/2022
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