Provider Demographics
NPI:1215731476
Name:CAPPELLETTI, JESSICA ERIN
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ERIN
Last Name:CAPPELLETTI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 BIRCHWOOD TER
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06762-1626
Mailing Address - Country:US
Mailing Address - Phone:203-558-0503
Mailing Address - Fax:
Practice Address - Street 1:3 BIRCHWOOD TER
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:CT
Practice Address - Zip Code:06762-1626
Practice Address - Country:US
Practice Address - Phone:203-558-0503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist