Doctor Name: | JESSICA CHRISTINA KUNZE |
NPI Number: | 1467829341 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 2202007963 |
Business Practice Address: | 1461 N Highview Ln Apt 111 Alexandria, VA - 223112308 |
Business Phone Number: | 6097093932 |
Business Fax Number: | |
Mailing Address: | 9 W 80th St, HARVEY CEDARS |
State: | NJ |
Postal Code: | 080085925 |
Phone Number: | 6097093932 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2015 |
NPI Last Update Date: | 08/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202007963 |
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 |