Doctor Name: | MRS. JENNIFER MICHELLE WELLS |
NPI Number: | 1457423592 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | LL00004297 |
Business Practice Address: | 8502 N Nevada St #2 Spokane, WA - 992087395 |
Business Phone Number: | 5094872958 |
Business Fax Number: | 5094873025 |
Mailing Address: | 2524 E 37th Ave, SPOKANE |
State: | WA |
Postal Code: | 992234584 |
Phone Number: | 5099397092 |
Fax Number: | |
NPI Enumeration Date: | 11/14/2006 |
NPI Last Update Date: | 10/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00004297 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |