Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Christine Wan, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1548815525

Jessica Christine Wan, CCC-SLP is a Speech-Language Pathologist in White Bear Lake, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2019
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

3483 Fair Oaks Ct
White Bear Lake, MN 55110-4578
Phone: (651) 815-3752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 10142 (MN)

Record details

NPI number1548815525
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 6, 2019
Last updated in NPPESAugust 6, 2019

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