Provider Demographics
NPI:1265468284
Name:CLAYPOOL, JESSICA (MS CCC SLP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:CLAYPOOL
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 26322
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00824-2322
Mailing Address - Country:US
Mailing Address - Phone:340-719-4334
Mailing Address - Fax:
Practice Address - Street 1:2133 HOSPITAL STREET
Practice Address - Street 2:DEPARTMENT OF SPECIAL EDUCATION
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00824
Practice Address - Country:US
Practice Address - Phone:340-773-7997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3502235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist