Doctor Name: | MICHELLE JENSCHKE |
NPI Number: | 1265663223 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 105580 |
Business Practice Address: | 109 Live Oak Dr Pleasanton, TX - 780641513 |
Business Phone Number: | 3612327837 |
Business Fax Number: | 8302688950 |
Mailing Address: | 109 Live Oak Dr, PLEASANTON |
State: | TX |
Postal Code: | 780641513 |
Phone Number: | 3612327837 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2009 |
NPI Last Update Date: | 02/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 105580 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |