Doctor Name: | MRS. BARB JONKERS |
NPI Number: | 1205283983 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 053 |
Business Practice Address: | 406 W 14th Ave Tyndall, SD - 570662280 |
Business Phone Number: | 6055893134 |
Business Fax Number: | 6055893661 |
Mailing Address: | 112 Evergreen St, AVON |
State: | SD |
Postal Code: | 573152030 |
Phone Number: | 6059991162 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2016 |
NPI Last Update Date: | 05/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
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 |