Provider Demographics
NPI:1033417076
Name:MAICKI, JESSICA STEFFES (MA)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:STEFFES
Last Name:MAICKI
Suffix:
Gender:F
Credentials:MA
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Mailing Address - Street 1:23825 COMMERCE PARK ROAD
Mailing Address - Street 2:STE. B
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122
Mailing Address - Country:US
Mailing Address - Phone:216-292-7370
Mailing Address - Fax:216-292-7042
Practice Address - Street 1:23825 COMMERCE PARK
Practice Address - Street 2:STE. B
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5837
Practice Address - Country:US
Practice Address - Phone:216-292-7370
Practice Address - Fax:216-292-7042
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist