| Doctor Name: | MRS. JENNA LYNN MARR |
| NPI Number: | 1376984005 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA CCC-SLP |
| License Number: | 7101000226 |
| Business Practice Address: | 138 W. Highland Rd. Suite 500-600 Howell, MI - 48843 |
| Business Phone Number: | 5173764831 |
| Business Fax Number: | 5173764833 |
| Mailing Address: | 11930 Whitmore Lake Rd, Suite I-m WHITMORE LAKE |
| State: | MI |
| Postal Code: | 48189 |
| Phone Number: | 7344494649 |
| Fax Number: | 7344494669 |
| NPI Enumeration Date: | 07/10/2013 |
| NPI Last Update Date: | 10/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 7101000226 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| 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 |