Individual
JESSICA TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
115 UNIONVILLE INDIAN TRAIL RD W STE E2, INDIAN TRAIL, NC 28079-5583
(704) 218-9320
Mailing address
484 WILLIAMSON RD # 102, MOORESVILLE, NC 28117-8191
(631) 560-9118
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30001654
NC
Other
Enumeration date
05/10/2023
Last updated
04/03/2024
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