MEDICARE: JESSICA SCHEIVE SLPA

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	2355S0801X	Speech-Language Assistant	8441	CA

General Provider Information

NPI Number	:	1528826609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA SCHEIVE SLPA

Provider Business Mailing Address
First Line	:	9245 LAGUNA SPRINGS DR STE 200
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95758-7991
Country	:	US
Telephone Number	:	408-644-2202
Fax Number	:

Provider Business Practice Location Address
First Line	:	10158 BYRON REEVES WAY
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95757-5017
Country	:	US
Telephone Number	:	408-644-2202
Fax Number	:

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

Provider Enumeration Date	:	03/12/2024
Last Update Date	:	03/12/2024

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Directions to “ JESSICA SCHEIVE SLPA” Practice Location

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