Provider Demographics
NPI:1396103339
Name:FIGLEWICZ, JESSI LEE (AUD,CCC-A)
Entity type:Individual
Prefix:DR
First Name:JESSI LEE
Middle Name:
Last Name:FIGLEWICZ
Suffix:
Gender:F
Credentials:AUD,CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 PEARSON BLVD
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-3368
Mailing Address - Country:US
Mailing Address - Phone:978-630-6932
Mailing Address - Fax:
Practice Address - Street 1:69 PEARSON BLVD
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-3368
Practice Address - Country:US
Practice Address - Phone:978-630-6932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1059231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist