Doctor Name: | MRS. ANDREA DENSE JOBE |
NPI Number: | 1194847566 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SP#1360 |
Business Practice Address: | 500 Noth Rock Street Sheridan, AR - 721502228 |
Business Phone Number: | 8709429861 |
Business Fax Number: | |
Mailing Address: | 23821 Block Rd, HENSLEY |
State: | AR |
Postal Code: | 720659461 |
Phone Number: | 5012617443 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#1360 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |