MEDICARE: JESSICA MUSICK M.S., CCCC-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
1	235Z00000X	Speech-Language Pathologist	SA13902	FL

General Provider Information

NPI Number	:	1326447046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA MUSICK M.S., CCCC-SLP

Provider Business Mailing Address
First Line	:	1600 S BAYSHORE LN APT 8D
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-4060
Country	:	US
Telephone Number	:	305-322-6645
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 S BAYSHORE LN APT 8D
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-4060
Country	:	US
Telephone Number	:	305-322-6645
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2014
Last Update Date	:	04/23/2020

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Directions to “ JESSICA MUSICK M.S., CCCC-SLP” Practice Location

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