Doctor Name: | MRS. JENNIFER D'ARCY ST. JOHN |
NPI Number: | 1649410168 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | SA 9762 |
Business Practice Address: | 2913 Wilderness Blvd E Parrish, FL - 342199270 |
Business Phone Number: | 4074156790 |
Business Fax Number: | 9417769215 |
Mailing Address: | 2913 Wilderness Blvd E, PARRISH |
State: | FL |
Postal Code: | 342199270 |
Phone Number: | 4074156790 |
Fax Number: | 9417769215 |
NPI Enumeration Date: | 02/23/2009 |
NPI Last Update Date: | 02/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 9762 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |