Active NPIIndividual providerSole proprietor

Jessica D Andersen, MS CCC-SLP

Speech-Language Pathologist, in Greenwich, Connecticut

NPI Number1821253766
Practice location
5 Perryridge RD, Greenwich, CT 06830-4697
Fax
—
Last updated
February 2, 2022

Jessica Dam Andersen is a Speech-Language Pathologist, based in Greenwich, CT. Jessica Dam Andersen practices in Greenwich, CT and has the professional credentials of MS CCC-SLP. The NPI Number for Jessica Dam Andersen is 1821253766 and holds a License No. 003933 (CT). The current practice location address for Jessica Dam Andersen is 5 Perryridge RD, Greenwich, CT 06830-4697 and can be reached out via phone at 203-638-3241.

Provider Profile Details

NPI Number
1821253766
Provider Name
Jessica Dam Andersen
Credential
MS CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
5 Perryridge RD, Greenwich, CT 06830-4697
Phone Number
203-638-3241
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 21, 2008
Last Update Date
February 2, 2022
Certification Date
February 2, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Perryridge RD
Greenwich, CT 06830-4697
Zip
06830-4697
Phone Number
203-638-3241
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
1 Lantern Ln
Darien, CT 06820-3909
City
Darien
State
CT
Zip
06820-3909
Phone Number
814-241-5434

License Information

License Number
003933
License State
CT
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 Jessica D Andersen, MS CCC-SLP?

The NPI number of Jessica D Andersen, MS CCC-SLP is 1821253766. It was assigned on July 21, 2008 and is currently active in the NPPES registry.

What is the specialty of Jessica D Andersen, MS CCC-SLP?

Jessica D Andersen, MS CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in CT under license number 003933.

Where does Jessica D Andersen, MS CCC-SLP practice?

The practice location is 5 Perryridge RD, Greenwich, CT 06830-4697. The office can be reached at 203-638-3241 (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 1821253766 directly on the NPPES registry website.

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