Provider Demographics
NPI:1912497744
Name:HOYT, JESSICA AMANDA (MS CCC-SLP/L)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:AMANDA
Last Name:HOYT
Suffix:
Gender:F
Credentials:MS CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 SCHUCKERS ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:LUTHERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15848-2020
Mailing Address - Country:US
Mailing Address - Phone:814-590-0157
Mailing Address - Fax:
Practice Address - Street 1:550 SCHUCKERS ORCHARD RD
Practice Address - Street 2:
Practice Address - City:LUTHERSBURG
Practice Address - State:PA
Practice Address - Zip Code:15848-2020
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty