Provider Demographics
NPI:1467280909
Name:BARKELEY, JESSICA LEE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LEE
Last Name:BARKELEY
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 1:5800 RIVER RD APT 323
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-5643
Mailing Address - Country:US
Mailing Address - Phone:907-947-6691
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 158969
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-8969
Practice Address - Country:US
Practice Address - Phone:615-446-8087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN000715245235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist