Individual
JESSICA ELLEN BALDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
146 TIMBER CREEK DR STE 101, CORDOVA, TN 38018-4234
(901) 309-5219
(901) 309-5265
Mailing address
146 TIMBER CREEK DR STE 101, CORDOVA, TN 38018-4234
(901) 309-5219
(901) 309-5265
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3278
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4157052
BCBS
TN
Enumeration date
06/27/2007
Last updated
05/16/2011
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