| Doctor Name: | JENNIFER C EDMONDS |
| NPI Number: | 1760479539 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC-A |
| License Number: | 147001140 |
| Business Practice Address: | 301 N 8th St Ste Pav 5b Springfield, IL - 627011041 |
| Business Phone Number: | 2175456099 |
| Business Fax Number: | 2175450253 |
| Mailing Address: | Po Box 19662, SPRINGFIELD |
| State: | IL |
| Postal Code: | 627949662 |
| Phone Number: | 2175456099 |
| Fax Number: | 2175450253 |
| NPI Enumeration Date: | 10/05/2005 |
| NPI Last Update Date: | 04/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237600000X |
| License Number: | 147001140 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist-Hearing Aid Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual |