Doctor Name: | MRS. JENNIFER L LOOMIS |
NPI Number: | 1639380868 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC/SLP |
License Number: | SL005827L |
Business Practice Address: | 407 Lingan St Perryopolis, PA - 154739705 |
Business Phone Number: | 7247360232 |
Business Fax Number: | |
Mailing Address: | 407 Lingan St, Po Box 1 PERRYOPOLIS |
State: | PA |
Postal Code: | 154739705 |
Phone Number: | 7247360232 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2007 |
NPI Last Update Date: | 04/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL005827L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |