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NPI Code Detail

MEDICARE: MR. JAY ROBERT CESSNA M.S. CCC-SLP

MEDICARE: MR. JAY ROBERT CESSNA M.S. CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSLP.0003053CO

General Provider Information

NPI Number : 1114434966
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAY ROBERT CESSNA M.S. CCC-SLP
Provider Business Mailing Address
First Line : 1122 YUMA ST APT D
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-4007
Country : US
Telephone Number : 763-226-8330
Fax Number :
Provider Business Practice Location Address
First Line : 2005 AEROPLAZA DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-4207
Country : US
Telephone Number : 719-425-7771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2018
Last Update Date : 02/19/2026

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Directions to “ MR. JAY ROBERT CESSNA M.S. CCC-SLP” Practice Location

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