| Doctor Name: | JENNIFER LYNN WOLF |
| NPI Number: | 1508225301 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLPA CERTIFICATE |
| License Number: | SLPA9835 |
| Business Practice Address: | 253 E Stolen Blvd Camp Verde, AZ - 86322 |
| Business Phone Number: | 9285930160 |
| Business Fax Number: | |
| Mailing Address: | Po Box 3402, CAMP VERDE |
| State: | AZ |
| Postal Code: | 863223402 |
| Phone Number: | 9285930160 |
| Fax Number: | |
| NPI Enumeration Date: | 02/22/2016 |
| NPI Last Update Date: | 02/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | SLPA9835 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |