Individual
JANESSA POTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
671 3RD AVE STE 2, JASPER, IN 47546-3652
(812) 630-2833
(812) 301-1329
Mailing address
671 3RD AVE STE 2, JASPER, IN 47546-3652
(812) 630-2833
(812) 301-1329
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006501A
IN
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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