Provider Demographics
NPI:1326162090
Name:LACERTE, JESSICA LINDSEY (MACCCSLP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:LINDSEY
Last Name:LACERTE
Suffix:
Gender:F
Credentials:MACCCSLP
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:LINDSEY
Other - Last Name:HUTCHISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MACCCSLP
Mailing Address - Street 1:45 BRISTOL CT
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-1074
Mailing Address - Country:US
Mailing Address - Phone:610-337-3822
Mailing Address - Fax:
Practice Address - Street 1:1001 S VALLEY FORGE RD
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-6502
Practice Address - Country:US
Practice Address - Phone:215-855-9700
Practice Address - Fax:215-855-1927
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL007673235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist