Doctor Name: | JENNIFER ANNE LANGLEY |
NPI Number: | 1306284377 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 8309 |
Business Practice Address: | 5930 Adobe Rd Twentynine Palms, CA - 922772356 |
Business Phone Number: | 7603671743 |
Business Fax Number: | |
Mailing Address: | 11120 Cholla Ave, MORONGO VALLEY |
State: | CA |
Postal Code: | 922569793 |
Phone Number: | 7603338604 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2013 |
NPI Last Update Date: | 06/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8309 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |