Healthcare Provider Details
I. General information
NPI: 1770526428
Provider Name (Legal Business Name): JESSICA J NORTON M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/13/2006
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
PO BOX 2001
CHARLOTTESVILLE VA
22902-2001
US
IV. Provider business mailing address
PO BOX 2001
CHARLOTTESVILLE VA
22902-2001
US
V. Phone/Fax
- Phone: 434-825-7117
- Fax: 434-244-3200
- Phone: 434-825-7117
- Fax: 434-244-3200
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 2202004822 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: