Individual
JESSICA M TOWLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
61 NAKAI TRL, FLAGSTAFF, AZ 86001-9650
(928) 814-6428
Mailing address
PO BOX 275, FLAGSTAFF, AZ 86002-0275
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5076
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127473
AHCCCS#
AZ
Enumeration date
10/29/2006
Last updated
05/27/2009
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