Provider Demographics
NPI:1235436148
Name:JESS, TORSTEN CHRISTOPH (MSCCC-SLPCS)
Entity Type:Individual
Prefix:MR
First Name:TORSTEN
Middle Name:CHRISTOPH
Last Name:JESS
Suffix:
Gender:M
Credentials:MSCCC-SLPCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5562 RIM VIEW PL
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-4534
Mailing Address - Country:US
Mailing Address - Phone:303-522-9685
Mailing Address - Fax:
Practice Address - Street 1:5562 RIM VIEW PL
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-4534
Practice Address - Country:US
Practice Address - Phone:303-522-9685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-13
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0001092235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist