Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JESSICA NIEDERKORN, M.A., CCC-SLP
Deactivated Sole ProprietorMRS. JESSICA NIEDERKORN, M.A., CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in PERRY, Georgia. NPI 1366444846 is deactivated in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · PERRY, GA
This NPI has been deactivated.
The record was deactivated on March 22, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1366444846
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 15, 2005 (0.6 yrs)
- Last Updated
- Jun 30, 2022
- Deactivated
- Mar 22, 2006
- License
-
SLP005748 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4034 ROUNDTOP CIRPERRY, GA, 310697806Browse GA providers · Browse ZIP 31069
- Phone
- 4787180573
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in PERRY, GA
| Name | Credential | NPI |
|---|---|---|
| NATALIE KEADLE | CCC-SLP | 1578627287 |
| MRS. JENNIFER RICE THOMAS | M.ED., CCC-SLP | 1770634073 |
| MRS. JULIE CROMER DOSTER | M.ED.CCC-SLP | 1932301090 |
| MRS. BEVERLY J SINCLAIR | M.A., CCC-SLP | 1558544361 |
| EMILY H HULBERT | M.A. CCC SLP | 1952548588 |
| COURTNEY A CADWELL | — | 1245569714 |
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.