Individual
JESSICA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
836 W LEXINGTON AVE, HIGH POINT, NC 27262-7481
(336) 323-8285
Mailing address
9206 STAFFORD COUNTRY LN, KERNERSVILLE, NC 27284-3881
(906) 630-4205
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12030
NC
Other
Enumeration date
09/18/2016
Last updated
12/05/2023
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