Provider Demographics
NPI:1366997769
Name:PRESSLEY, JERICA (CCC SLP)
Entity type:Individual
Prefix:
First Name:JERICA
Middle Name:
Last Name:PRESSLEY
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:PO BOX 161
Mailing Address - Street 2:
Mailing Address - City:MUNFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36268-0161
Mailing Address - Country:US
Mailing Address - Phone:256-493-2920
Mailing Address - Fax:
Practice Address - Street 1:305 E 11TH ST # B
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-4653
Practice Address - Country:US
Practice Address - Phone:256-454-1647
Practice Address - Fax:256-242-0441
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-16
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3932235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL3932OtherSPEECH & LANGUAGE PATHOLOGY LICENSE