Jessica Marie Longdin, MS/CCC-SLP is a
Speech-language Pathologist based in North Fond Du Lac, Wisconsin. Jessica Marie Longdin is licensed to practice in Wisconsin (license number 3458-154) and her current practice location is
1604 Saint Paul Ave, North Fond Du Lac, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 602-2367.
NPI number for Jessica Marie Longdin is 1295013324 and her current mailing address is 1604 Saint Paul Ave, North Fond Du Lac, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295013324.
Healthcare Provider's Profile
Full Name | Jessica Marie Longdin |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 1604 Saint Paul Ave, North Fond Du Lac, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295013324
- Provider Enumeration Date: 07/22/2011
- Last Update Date: 07/22/2011
Medical Identifiers
Medical identifiers for Jessica Marie Longdin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295013324 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 3458-154 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Marie Longdin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Marie Longdin, MS/CCC-SLP 1604 Saint Paul Ave, North Fond Du Lac, WI 54937-1072 Ph: (920) 602-2367 | Jessica Marie Longdin, MS/CCC-SLP 1604 Saint Paul Ave, North Fond Du Lac, WI 54937-1072 Ph: (920) 602-2367 |
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