Healthcare Provider Details

I. General information

NPI: 1386559342
Provider Name (Legal Business Name): JESSICA POLLOCK LINDENBERG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1335 FARRAGUT ST NW
WASHINGTON DC
20011-6907
US

IV. Provider business mailing address

29 ROYAL DOMINION CT
BETHESDA MD
20817-4652
US

V. Phone/Fax

Practice location:
  • Phone: 202-576-6226
  • Fax:
Mailing address:
  • Phone: 301-767-5772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: