Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA FITZGERALD, M.S., CCC-SLP
Active Sole ProprietorJESSICA FITZGERALD, M.S., CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in LAKE WINNEBAGO, Missouri. NPI 1104214295 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · LAKE WINNEBAGO, MO
Registration Details
- NPI Number
- 1104214295
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 26, 2014 (11.63034172882 yrs)
- Last Updated
- Jan 10, 2023
- Licenses
-
3209 (KS)16792 (OR)2012012466 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
294 N WINNEBAGO DRLAKE WINNEBAGO, MO, 640349319Browse MO providers · Browse ZIP 64034
- Phone
- 9137091152
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
- Additional Specialty
- Speech, Language and Hearing Specialist
- Additional Specialty
- Speech, Language and Hearing Specialist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.