| Doctor Name: | MS. JENNIFER LYNN RESIDE |
| NPI Number: | 1255490447 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AU.D., CCC-A |
| License Number: | 7922 |
| Business Practice Address: | 100 State Ave Faribault, MN - 55021 |
| Business Phone Number: | 5073345915 |
| Business Fax Number: | 5073326683 |
| Mailing Address: | 100 State Ave, FARIBAULT |
| State: | MN |
| Postal Code: | 55021 |
| Phone Number: | 5073345915 |
| Fax Number: | 5073326683 |
| NPI Enumeration Date: | 12/06/2006 |
| NPI Last Update Date: | 08/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237600000X |
| License Number: | 7922 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist-Hearing Aid Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual |