Doctor Name: | MRS. JENNA MICHELE MEEKS |
NPI Number: | 1376737692 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SLP 0973 |
Business Practice Address: | 625 W Cornell Dr Tempe, AZ - 852831759 |
Business Phone Number: | 4808976233 |
Business Fax Number: | |
Mailing Address: | 1946 E Rancho Dr, PHOENIX |
State: | AZ |
Postal Code: | 850162613 |
Phone Number: | 4808976233 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2007 |
NPI Last Update Date: | 08/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP 0973 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |