Jeannette Slesicki, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

04812 Issued in MD

Practice address

1416 Banavie Ter E
Bel Air, MD 21015-5778

Phone

(410) 652-5357

NPI assigned

Nov 27, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1093285694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 BANAVIE TER E",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155778",
            "telephone_number": "410-652-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 BANAVIE TER E",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155778",
            "telephone_number": "410-652-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLESICKI",
        "first_name": "JEANNETTE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "04812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• May Situ, MT
• Jennifer Hisley Sklar
• Dean Alexander Slack
• Karen Slagle, PHARMD
• Kristie Slaski
• Laura M Sloat, MS, LGPC
• Kellie Bobbitt Smaldore, DO
• Stephen Gerard Smaldore, DO
• Linda Claire Smart-Sullivan, LCSW
• SMB Behavorial Health Service, LLC

• Speech-Language Pathologist in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.