Doctor Name: | MRS. JENNIFER DIANE JIMENEZ |
NPI Number: | 1063810265 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 2333 |
Business Practice Address: | 118 S Sunflower Ave Oberlin, KS - 677494956 |
Business Phone Number: | 7854707677 |
Business Fax Number: | |
Mailing Address: | 118 S Sunflower Ave, OBERLIN |
State: | KS |
Postal Code: | 677494956 |
Phone Number: | 7854707677 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2014 |
NPI Last Update Date: | 12/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2333 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
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 |