Doctor Name: | MS. JENNIFER MOREY |
NPI Number: | 1174842777 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.C.C.SLP |
License Number: | 15998 |
Business Practice Address: | 2235 Newcastle Gap Dr Gold River, CA - 956707510 |
Business Phone Number: | 9167060250 |
Business Fax Number: | |
Mailing Address: | 2235 Newcastle Gap Dr, GOLD RIVER |
State: | CA |
Postal Code: | 956707510 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/21/2010 |
NPI Last Update Date: | 05/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 15998 |
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 |