Individual
MRS. JESSICA LYNN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
6506 LOISDALE RD STE 300, SPRINGFIELD, VA 22150-1815
(703) 924-4122
Mailing address
651 ACKER PL NE, WASHINGTON, DC 20002-5211
(917) 513-4198
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005449
VA
Other
Enumeration date
03/14/2008
Last updated
10/16/2008
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