NPI 1043702657

Jessica Anneliese Mace, MS

Practitioner Speech-Language Pathologist Fountain, CO

Practice location

Address: 901 N Santa Fe Ave, Fountain, CO 80817-1738
Phone: (719) 822-0550
Mailing address: 4629 Shemin CT APT C, Colorado Springs, CO 80902-1229

Registered specialties (3)

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 2202011328 (VA)

Other Speech-Language Pathologist providers in Colorado →

Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 0004416 (CO)

Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 13452 (NC)

Registry record

NPI: 1043702657
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 May 2018
Record last updated: 14 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.