Doctor Name: | PROF. JESSICA ADRIENNE TELCHIN |
NPI Number: | 1407085723 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | 09144922 |
Business Practice Address: | 19808 Dinner Key Dr Boca Raton, FL - 334984504 |
Business Phone Number: | 5612510103 |
Business Fax Number: | |
Mailing Address: | 19808 Dinner Key Dr, BOCA RATON |
State: | FL |
Postal Code: | 334984504 |
Phone Number: | 5612510103 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2009 |
NPI Last Update Date: | 07/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 09144922 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |