Doctor Name: | MRS. JENNIFER MARIE PRINZ |
NPI Number: | 1760566988 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC SLP |
License Number: | SP6368 |
Business Practice Address: | 270 Sterkel Blvd The Rehab Center Mansfield, OH - 44907 |
Business Phone Number: | 4197561133 |
Business Fax Number: | 4197566544 |
Mailing Address: | 33 Mohican Trail, LEXINGTON |
State: | OH |
Postal Code: | 44904 |
Phone Number: | 4198846408 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP6368 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |