Doctor Name: | MS. CYNTHIA HARDY JENKINS |
NPI Number: | 1194849869 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MACCC,SLP |
License Number: | SA00002180 |
Business Practice Address: | 250 S Ronald Reagan Blvd Suite 108 Longwood, FL - 327505466 |
Business Phone Number: | 4072600020 |
Business Fax Number: | 4072609555 |
Mailing Address: | 250 S Ronald Reagan Blvd, Suite 108 LONGWOOD |
State: | FL |
Postal Code: | 327505466 |
Phone Number: | 4072600020 |
Fax Number: | 4072609555 |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA00002180 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |