Doctor Name: | JENNIFER K VINCENT |
NPI Number: | 1578896742 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | ST-548 |
Business Practice Address: | 313 N 5th St E Riverton, WY - 825013612 |
Business Phone Number: | 3078404576 |
Business Fax Number: | 3074632578 |
Mailing Address: | 313 N 5th St E, RIVERTON |
State: | WY |
Postal Code: | 825013612 |
Phone Number: | 3078404576 |
Fax Number: | 3074632578 |
NPI Enumeration Date: | 09/04/2009 |
NPI Last Update Date: | 07/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | ST-548 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
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 |