Individual
JESSICA DEVENNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
134 INFIELD CT, MOORESVILLE, NC 28117-8026
(047) 996-8247
(704) 799-6825
Mailing address
59 PEDEE PL, MIDDLETOWN, NJ 07748-2319
(732) 233-6327
(864) 751-5397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11648
NC
Other
Enumeration date
01/02/2016
Last updated
02/06/2020
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