Individual
JESSICA MARIAN ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. CCC-SLP
Contact information
Practice address
305 CALIFORNIA AVE, DAYTON, TN 37321-1409
(423) 622-1551
Mailing address
9040 EXECUTIVE PARK DR, SUITE 105, KNOXVILLE, TN 37923-4640
(912) 614-1336
(865) 769-0801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4936
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q001678
—
TN
Enumeration date
09/23/2013
Last updated
11/22/2019
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