Provider Demographics
NPI:1417687575
Name:VALENTI, JESSICA NIKKOL (SLPA)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:NIKKOL
Last Name:VALENTI
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2370 BRUCE B DOWNS BLVD
Mailing Address - Street 2:UNIT 300
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544
Mailing Address - Country:US
Mailing Address - Phone:813-973-1033
Mailing Address - Fax:
Practice Address - Street 1:2370 BRUCE B DOWNS BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-9215
Practice Address - Country:US
Practice Address - Phone:813-973-1033
Practice Address - Fax:844-495-7168
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL49262355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant