Doctor Name: | JENNA M ESTEP |
NPI Number: | 1245589100 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED, CCC-SLP |
License Number: | 9993 |
Business Practice Address: | 3419-b Melrose Road Fayetteville, NC - 283041608 |
Business Phone Number: | 9102572005 |
Business Fax Number: | 9104856315 |
Mailing Address: | 3419-b Melrose Road, FAYETTEVILLE |
State: | NC |
Postal Code: | 283041608 |
Phone Number: | 9102572005 |
Fax Number: | 9104856315 |
NPI Enumeration Date: | 09/06/2012 |
NPI Last Update Date: | 09/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9993 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |