Doctor Name: | MS. JEANNE L LONGTIN |
NPI Number: | 1679879621 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MACCC-SLP |
License Number: | |
Business Practice Address: | 555 N Bradley Hwy Suite C Rogers City, MI - 497791539 |
Business Phone Number: | 9897347545 |
Business Fax Number: | 9897347648 |
Mailing Address: | 555 N Bradley Hwy, Suite C ROGERS CITY |
State: | MI |
Postal Code: | 497791539 |
Phone Number: | 9897347545 |
Fax Number: | 9897347648 |
NPI Enumeration Date: | 02/08/2011 |
NPI Last Update Date: | 02/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |