Doctor Name: | MRS. JESSICA A CLOSSEN |
NPI Number: | 1881808699 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 2366 |
Business Practice Address: | 1429 Kasold Dr Lawrence, KS - 660493425 |
Business Phone Number: | 7858414262 |
Business Fax Number: | 7857493055 |
Mailing Address: | 5 Cardinal Creek Dr, GREENVILLE |
State: | SC |
Postal Code: | 296075563 |
Phone Number: | 7853932438 |
Fax Number: | 7857493055 |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 07/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2366 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
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 |