| Doctor Name: | JERELEN BRIGGLE |
| NPI Number: | 1497172910 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. CCC-SLP |
| License Number: | 104063 |
| Business Practice Address: | 100 E Ferguson St Ste 1204 Tyler, TX - 757025700 |
| Business Phone Number: | 9035092040 |
| Business Fax Number: | 9035325873 |
| Mailing Address: | 1876 Farm Market Rd 1502, DETROIT |
| State: | TX |
| Postal Code: | 75436 |
| Phone Number: | 9039052702 |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2014 |
| NPI Last Update Date: | 03/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 104063 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |