Doctor Name: | MRS. JENNIFER C. PACE |
NPI Number: | 1417901398 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | SLP005723 |
Business Practice Address: | 950 15th St Augusta, GA - 309012608 |
Business Phone Number: | 7067330188 |
Business Fax Number: | |
Mailing Address: | 1 Freedom Way, 231d, Speech Pathology AUGUSTA |
State: | GA |
Postal Code: | 309046258 |
Phone Number: | 7067330188 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP005723 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |