Provider Demographics
NPI:1780421248
Name:TREMPER, JESSICA MARIE (AUD)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:MARIE
Last Name:TREMPER
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 1:1500 S LAKE PARK AVE STE SP404
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:IN
Mailing Address - Zip Code:46342-6699
Mailing Address - Country:US
Mailing Address - Phone:219-703-2460
Mailing Address - Fax:
Practice Address - Street 1:1500 S LAKE PARK AVE STE SP404
Practice Address - Street 2:
Practice Address - City:HOBART
Practice Address - State:IN
Practice Address - Zip Code:46342-6699
Practice Address - Country:US
Practice Address - Phone:219-703-2460
Practice Address - Fax:219-703-6951
Is Sole Proprietor?:No
Enumeration Date:2024-07-11
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002862A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist