Doctor Name: | MRS. JENNIFER MARIE STABINER |
NPI Number: | 1104080654 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP 16917 |
Business Practice Address: | 1291 Craig Ave Lakeport, CA - 954535704 |
Business Phone Number: | 7072636382 |
Business Fax Number: | |
Mailing Address: | 10256 Del Monte Way, KELSEYVILLE |
State: | CA |
Postal Code: | 954518503 |
Phone Number: | 7072787281 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2008 |
NPI Last Update Date: | 07/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 16917 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |