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JESSICA CHRISTINE WAN CCC-SLP
NPI 1548815525
Speech-Language Pathologist in White Bear Lake, MN

Active since August 06, 2019
3483 FAIR OAKS CT, WHITE BEAR LAKE, MN 55110(651) 815-3752 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Christine Wan Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA CHRISTINE WAN CCC-SLP (NPI 1548815525) is an individual speech-language pathologist provider in White Bear Lake, Minnesota, licensed in Minnesota (10142) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1548815525
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJESSICA CHRISTINE WANCredential: CCC-SLP
Location Address3483 FAIR OAKS CTWhite Bear Lake, MN 55110-4578
Mailing Address3483 Fair Oaks CtWhite Bear Lake, MN 55110-4578 · (651) 815-3752
Phone(651) 815-3752
Sole ProprietorYes
Enumeration DateAugust 6, 2019
✔ NPI 1548815525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MN · 10142
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
3483 FAIR OAKS CT, White Bear Lake, MN 55110
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Wan's NPI number?

The NPI number for Jessica Wan is 1548815525. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Jessica Wan located?

Jessica Wan practices at 3483 Fair Oaks Ct, White Bear Lake, MN 55110. The listed phone number is (651) 815-3752.

What is Jessica Wan's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Jessica Wan was last updated on August 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.