Individual
MRS. JAMIE R TETTEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7520 SURRATTS RD, CLINTON, MD 20735-3353
(301) 856-1660
Mailing address
5587 CALLCOTT WAY, UNIT 1201, ALEXANDRIA, VA 22312-4009
(757) 218-3951
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
00048
DC
235Z00000X
Speech-Language Pathologist
Primary
06700
MD
235Z00000X
Speech-Language Pathologist
2202006609
VA
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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