NPIMap

Jessica Danielle King, SLP

Individual provider Active NPI Speech-Language Pathologist · Tucson, AZ

NPI 1134589674 · NPPES record last updated Feb 25, 2016

Key facts

NPI
1134589674
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP9842 (AZ)
Practice address
2260 N Rosemont Blvd
Suite 100
Tucson, AZ 85712-2137
Phone
(520) 232-2021
Fax
(520) 232-2553
NPI assigned
Feb 25, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SLP9842AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Therapy Group of Tucson PLLC Speech-Language Pathologist Past Accepting new patients
Therapy Group of Tucson, LLC Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP9842 AZ Yes

Addresses

Primary practice location

2260 N Rosemont Blvd
Suite 100
Tucson, AZ 85712-2137

Mailing address

1830 E Broadway Blvd
Suite 124-143
Tucson, AZ 85719-5966
Phone (520) 232-2021

Other names

  • Jessica Danielle Lohman Former name

Other providers in Tucson, AZ

All providers in Tucson, AZ · Speech-Language Pathologist in Arizona

Sources for this page

Verify at the official NPI Registry.