Doctor Name: | CHRISTINA DAWN JENNINGS |
NPI Number: | 1114352200 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SP1332 |
Business Practice Address: | 95 Mahalani St Rm 19a Wailuku, HI - 967932521 |
Business Phone Number: | 8082447467 |
Business Fax Number: | |
Mailing Address: | 1015 Kaupakalua Rd, HAIKU |
State: | HI |
Postal Code: | 967085237 |
Phone Number: | 8082764546 |
Fax Number: | |
NPI Enumeration Date: | 09/06/2013 |
NPI Last Update Date: | 09/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP1332 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
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 |