Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Place, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1093569360

Jessica Place, MACCC-SLP is a Speech-Language Pathologist in Costa Mesa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

2524 Andover Pl
Costa Mesa, CA 92626-6337
Phone: (949) 416-3843
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 27920 (CA)

Record details

NPI number1093569360
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedApril 15, 2024
Last updated in NPPESApril 15, 2024
Certification dateApril 14, 2024

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