Doctor Name: | VIRGINIA NAOMI JENKINS |
NPI Number: | 1679738777 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. CCC-SLP |
License Number: | 102013 |
Business Practice Address: | 14906 Sierra Sunset Dr Humble, TX - 773964262 |
Business Phone Number: | 8322338204 |
Business Fax Number: | 2814596239 |
Mailing Address: | 14906 Sierra Sunset Dr, HUMBLE |
State: | TX |
Postal Code: | 773964262 |
Phone Number: | 8322338204 |
Fax Number: | 2814596239 |
NPI Enumeration Date: | 07/28/2008 |
NPI Last Update Date: | 07/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 102013 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |