Most Relevant Information
Provider Data
| NPI Number: | 1003210238 |
| Provider Name: | JESSICA WORMALD MSCCCSLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SL011716 |
Most Important Dates
| Enumeration Date: | 10/17/2014 |
| Last Updated: | 10/17/2014 |
Provider Practice Location
2695 WINCHESTER DR
PITTSBURGH
PA
152204039
Practice Location Phone/Fax
| Phone: | 4124404364 |
| Fax: | 4124404379 |
Provider Mailing Location
2695 WINCHESTER DR
PITTSBURGH
PA
152204039
Provider Mailing Phone/Fax
| Phone: | 4124404364 |
| Fax: | 4124404379 |