Provider Demographics
NPI:1952771685
Name:PRICE, JESSICA ANN
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:ANN
Last Name:PRICE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:ANN
Other - Last Name:HIZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:527 WRIGHTSTOWN SYKESVILLE RD UNIT 15
Mailing Address - Street 2:
Mailing Address - City:WRIGHTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08562-1530
Mailing Address - Country:US
Mailing Address - Phone:609-316-0195
Mailing Address - Fax:609-353-1549
Practice Address - Street 1:527 WRIGHTSTOWN SYKESVILLE RD UNIT 15
Practice Address - Street 2:
Practice Address - City:WRIGHTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08562-1530
Practice Address - Country:US
Practice Address - Phone:609-316-0195
Practice Address - Fax:609-353-1549
Is Sole Proprietor?:No
Enumeration Date:2015-10-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112234235Z00000X
DEO1-0001541235Z00000X
PASL012594235Z00000X
NJ41YS00817100235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist