Individual
JESSICA MARIE DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
14715 BRISTOL PARK BLVD, EDMOND, OK 73013-1894
(405) 840-1686
(405) 840-1006
Mailing address
1281 ROUND LEAF RD, EDMOND, OK 73034-1098
(405) 513-3620
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5737
OK
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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