Jessica Lee Cortez MA, CCC-SLP

NPI 1003117003 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1003117003
Gender Female
Enumeration Date 11/06/2010
Last Updated 11/06/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
13004 ELM TREE DR APT 102
HERNDON VA, 20171-2863, US
Phone (330) 495-5270
Fax
Business Location
13004 ELM TREE DR APT 102
HERNDON VA, 20171-2863, US
Phone (330) 495-5270
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Virginia
License Number 2202006171
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According to our database, Mrs. Jessica Lee Cortez MA, CCC-SLP NPI is 1003117003, taxonomy code is 235Z00000X and license number is 2202006171, license state is located at Virginia. Jessica Lee Cortez MA, CCC-SLP physically located at 13004 Elm Tree Dr Apt 102, Herndon VA, 20171-2863. NPI Number Jessica Lee Cortez MA, CCC-SLP has the Individual type.

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1003117003 NPI number is provided on an as is basis without warranty of any kind. 1003117003 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Lee Cortez MA, CCC-SLP are for informational purposes only.