Provider Demographics
NPI:1578232781
Name:KLASSEN, JESSICA C (CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:C
Last Name:KLASSEN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8757 VALLEY RANCH PKWY W
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-4126
Mailing Address - Country:US
Mailing Address - Phone:972-968-1700
Mailing Address - Fax:
Practice Address - Street 1:8757 VALLEY RANCH PKWY W
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-4126
Practice Address - Country:US
Practice Address - Phone:972-968-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist