Individual
JESSICA WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1270 KINGS HWY, LEWES, DE 19958-1735
(302) 684-4950
(302) 684-8931
Mailing address
1270 KINGS HWY, LEWES, DE 19958-1735
(302) 684-4950
(302) 684-8931
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01-0001178
DE
Other
Enumeration date
10/14/2010
Last updated
10/02/2020
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