Jessica J Kinzle, M.S., CCC-SLP
Speech-Language Pathologist, in Antioch, IL. Individual provider (NPI-1).
NPI number1376723957
StatusActive
Last updated in NPPESSep 17, 2020
Details
- NPI
- 1376723957
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jessica J Kinzle
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 12, 2007
- Certification date
- Sep 17, 2020
- Last updated
- Sep 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 1822985 | IL | Yes |
| 235Z00000X | Speech-Language Pathologist, | 146007976 | IL |
Practice location
850 Highview DrAntioch, IL 60002-1141
Phone 847-838-8136
Mailing address
850 Highview DrAntioch, IL 60002-1141
Phone 478-388-1368
Other practice locations
9 Lacrue Ave
Glen Mills, PA 19342-1062
Glen Mills, PA 19342-1062
Phone 800-578-7906 · Fax 800-878-5497
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All 18 Speech-Language Pathologist providers in Antioch · All 262 providers in Antioch
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