Individual
JESSICA LYNN ELKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CF-SLP
Contact information
Practice address
300 E BROADWAY ST, LOOGOOTEE, IN 47553-1708
(812) 709-3286
Mailing address
223 STEEPLE POINT LN, BEDFORD, IN 47421-5545
(812) 583-1570
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46003825A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46003825A
PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
09/11/2020
Last updated
09/18/2020
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