Individual ProviderJessica DesistoSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address3330 NE 190th St Apt 2114, Aventura, FL 33180-2679(774) 487-2162PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Desisto does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1134368210Provider TypeIndividualFull NameDesisto, JessicaCredentialMS, CCC-SLPGenderFemaleSole ProprietorNoEnumeration Date2/12/2009Last Updated6/3/2016Contact InformationPractice LocationPractice Address3330 NE 190th St Apt 2114, Aventura, FL 33180-2679Phone(774) 487-2162FaxUnlisted FaxMailing LocationMailing Address3330 NE 190th St Apt 2114, Aventura, FL 33180-2679Phone(774) 487-2162FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer