Doctor Name: | MRS. JESSICA MCALEXANDER GILLISPIE |
NPI Number: | 1083840086 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CF-SLP |
License Number: | 2202005684 |
Business Practice Address: | 320 Hospital Dr Martinsville, VA - 241121900 |
Business Phone Number: | 2766667590 |
Business Fax Number: | 2766667593 |
Mailing Address: | 435 Hales Fish Pond Rd, BASSETT |
State: | VA |
Postal Code: | 240553259 |
Phone Number: | 2767323403 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2009 |
NPI Last Update Date: | 06/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202005684 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |