| Doctor Name: | MRS. JENNIFER ANNE PULIKKAN |
| NPI Number: | 1417993858 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CCC-SLP |
| License Number: | 2004011406 |
| Business Practice Address: | 5520 College Blvd Suite 370 Overland Park, KS - 662111630 |
| Business Phone Number: | 9136968844 |
| Business Fax Number: | 9136968855 |
| Mailing Address: | 10100 W 80th St, Apt. 90 OVERLAND PARK |
| State: | KS |
| Postal Code: | 662044724 |
| Phone Number: | 9137096681 |
| Fax Number: | |
| NPI Enumeration Date: | 06/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2004011406 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| 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 |