Doctor Name: | MS. LEA FAYE JENDZA |
NPI Number: | 1285896746 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 12143642 |
Business Practice Address: | 800 Quaker Ln East Greenwich, RI - 028181667 |
Business Phone Number: | 4018866653 |
Business Fax Number: | |
Mailing Address: | 798 Tower Hill Rd, NORTH KINGSTOWN |
State: | RI |
Postal Code: | 02852 |
Phone Number: | 4014774343 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2008 |
NPI Last Update Date: | 04/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12143642 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
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 |