Provider Demographics
NPI:1861649360
Name:TOURAY, JESSICA (AUD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:
Last Name:TOURAY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 25TH AVE S STE 200
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55454-1443
Mailing Address - Country:US
Mailing Address - Phone:612-339-2836
Mailing Address - Fax:612-339-9741
Practice Address - Street 1:701 25TH AVE S STE 200
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454-1443
Practice Address - Country:US
Practice Address - Phone:612-339-2836
Practice Address - Fax:612-339-9741
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8516231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist