Active NPIIndividual providerSole proprietor

Ms. Diane D Jessop, MA, CCC-SLP

Speech-Language Pathologist, in Boxborough, Massachusetts

NPI Number1366588782
Practice location
202 Swanson Road, Unit 520, Boxborough, MA 01719-0334
Fax
—
Last updated
April 8, 2015

Diane Deborah Jessop is a Speech-Language Pathologist, based in Boxborough, MA. Diane Deborah Jessop practices in Boxborough, MA and has the professional credentials of MA, CCC-SLP. The NPI Number for Diane Deborah Jessop is 1366588782 and holds a License No. 3404 (MA). The current practice location address for Diane Deborah Jessop is 202 Swanson Road, Unit 520, Boxborough, MA 01719-0334 and can be reached out via phone at 978-496-5724.

Provider Profile Details

NPI Number
1366588782
Provider Name
Diane Deborah Jessop
Credential
MA, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
202 Swanson Road, Unit 520, Boxborough, MA 01719-0334
Phone Number
978-496-5724
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 30, 2007
Last Update Date
April 8, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
202 Swanson Road
Unit 520
Boxborough, MA 01719-0334
Zip
01719-0334
Phone Number
978-496-5724
Boxborough, MA 01719Get directions →

Provider Business Mailing Address Details

Address
202 Swanson RD
Boxborough, MA 01719-1334
City
Boxborough
State
MA
Zip
01719-1334

License Information

License Number
3404
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Diane D Jessop, MA, CCC-SLP?

The NPI number of Ms. Diane D Jessop, MA, CCC-SLP is 1366588782. It was assigned on January 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Diane D Jessop, MA, CCC-SLP?

Ms. Diane D Jessop, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 3404.

Where does Ms. Diane D Jessop, MA, CCC-SLP practice?

The practice location is 202 Swanson Road, Unit 520, Boxborough, MA 01719-0334. The office can be reached at 978-496-5724 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366588782 directly on the NPPES registry website.

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