Individual provider · Type 1 NPI

Jessica Petty

Speech-Language Pathologist · Port Orange, FL

NPI number 1457784167 Active

Practice location

5535 S Williamson Blvd, SUITE#774
Port Orange, FL 32128-8311

Call (800) 330-7711 Map

Fax (386) 944-7202

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X107878 (FL)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1457784167

Jessica Petty's National Provider Identifier is 1457784167, issued on Aug 16, 2013. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Port Orange, FL. The record was last updated on Aug 16, 2013.