Doctor Name: | MRS. JENNIFER M STUMP |
NPI Number: | 1003050030 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED. CCC-SLP |
License Number: | SLP007035 |
Business Practice Address: | 2704 N Oak St Bldg K Valdosta, GA - 316021769 |
Business Phone Number: | 2292197993 |
Business Fax Number: | 2292197914 |
Mailing Address: | 2704 N Oak St Bldg K, VALDOSTA |
State: | GA |
Postal Code: | 316021769 |
Phone Number: | 2292197993 |
Fax Number: | 2292197914 |
NPI Enumeration Date: | 04/21/2009 |
NPI Last Update Date: | 03/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP007035 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |