| Doctor Name: | JENNIFER FORIM |
| NPI Number: | 1265630883 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SI00004590 |
| Business Practice Address: | 8502 N Nevada St # 2 Spokane, WA - 992087395 |
| Business Phone Number: | 5094872958 |
| Business Fax Number: | 5094873025 |
| Mailing Address: | 3311 W Longfellow Ave, SPOKANE |
| State: | WA |
| Postal Code: | 992051721 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2007 |
| NPI Last Update Date: | 04/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SI00004590 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| 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 |