Individual ProviderJessica SadaSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1210 18th Ave N, Jacksonville Beach, FL 32250-3756(570) 956-5817PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Sada 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 yesterday at 12:57 PM.Profile DetailsProvider ID1275821621Provider TypeIndividualFull NameSada, JessicaCredentialM.A. CCC-SLPGenderFemaleSole ProprietorYesEnumeration Date7/19/2011Last Updated12/12/2019Contact InformationPractice LocationPractice Address1210 18th Ave N, Jacksonville Beach, FL 32250-3756Phone(570) 956-5817FaxUnlisted FaxMailing LocationMailing Address428 Muir Ave, Hazleton, PA 18201-7486Phone(570) 956-5817FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSA11919FloridaCode235Z00000XDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSL01020Pennsylvania