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

Individual provider Speech-Language Pathologist · NPI 1629847462

Jessica Richardson, CCC-SLP is a Speech-Language Pathologist in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023
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

3901 Beaubien St
Detroit, MI 48201-2119
Phone: (313) 745-4852
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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 14322520 (MI)

Record details

NPI number1629847462
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedDecember 21, 2023
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023

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