Doctor Name: | MRS. JENNIFER JON ZAPACH |
NPI Number: | 1104992288 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 2992 |
Business Practice Address: | 4210 Louisiana Blvd Ne Ste. A Albuquerque, NM - 871091807 |
Business Phone Number: | 5052685933 |
Business Fax Number: | 5052680184 |
Mailing Address: | 9612 Candle Ln Ne, ALBUQUERQUE |
State: | NM |
Postal Code: | 871111611 |
Phone Number: | 5057978383 |
Fax Number: | |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2992 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
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 |