Doctor Name: | MRS. JENNIFER SLOAN HOOVER |
NPI Number: | 1639445299 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS/CCC |
License Number: | 3297-154 |
Business Practice Address: | 200 E Tyranena Park Rd Lake Mills, WI - 535519678 |
Business Phone Number: | 9206488170 |
Business Fax Number: | |
Mailing Address: | 611 Sherman Ave E, FORT ATKINSON |
State: | WI |
Postal Code: | 535381960 |
Phone Number: | 9205685299 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2012 |
NPI Last Update Date: | 03/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3297-154 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |