| Doctor Name: | JESSICA LAUREN GINSBURG |
| NPI Number: | 1134464142 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP |
| License Number: | 2202006864 |
| Business Practice Address: | 10642 Santa Monica Blvd Ste 101 Los Angeles, CA - 900254866 |
| Business Phone Number: | 3105715726 |
| Business Fax Number: | |
| Mailing Address: | 10642 Santa Monica Blvd Ste 101, LOS ANGELES |
| State: | CA |
| Postal Code: | 900254866 |
| Phone Number: | 3105715726 |
| Fax Number: | |
| NPI Enumeration Date: | 12/02/2012 |
| NPI Last Update Date: | 05/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2202006864 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |