| Doctor Name: | MS. ANNA JEWETT |
| NPI Number: | 1316292246 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CCC-SLP |
| License Number: | SP 20698 |
| Business Practice Address: | 1575 N Lake Ave Suite 202 Pasadena, CA - 911042340 |
| Business Phone Number: | 8589455806 |
| Business Fax Number: | 8552019268 |
| Mailing Address: | 939 N Catalina Ave, PASADENA |
| State: | CA |
| Postal Code: | 91104 |
| Phone Number: | 8589455806 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2012 |
| NPI Last Update Date: | 03/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP 20698 |
| 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 |