Doctor Name: | JENNIFER A MACKFOUNTAIN |
NPI Number: | 1417087115 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSP, CCC, SLP |
License Number: | SA1616 |
Business Practice Address: | 7601 Se Teton Dr Hobe Sound, FL - 334557884 |
Business Phone Number: | 7722871007 |
Business Fax Number: | |
Mailing Address: | 7601 Se Teton Dr, HOBE SOUND |
State: | FL |
Postal Code: | 334557884 |
Phone Number: | 7722871007 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA1616 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |