Individual
JESSICA ANNE TANDLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1855 S WRIGHT ST, LAKEWOOD, CO 80228-3963
(303) 982-9270
Mailing address
10851 SW 68TH AVE, PINECREST, FL 33156-3921
(305) 987-4716
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA18402
FL
235Z00000X
Speech-Language Pathologist
Primary
SLP.0005006
CO
235Z00000X
Speech-Language Pathologist
SZ9121
FL
Other
Enumeration date
07/21/2019
Last updated
08/13/2024
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