Doctor Name: | MS. JENNIFER BETH SUNSERI |
NPI Number: | 1760798433 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 16906 |
Business Practice Address: | 4111 Commons Dr W #1118 Destin, FL - 325418484 |
Business Phone Number: | 2514595565 |
Business Fax Number: | |
Mailing Address: | 4111 Commons Dr W, #1118 DESTIN |
State: | FL |
Postal Code: | 325418484 |
Phone Number: | 2514595565 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2010 |
NPI Last Update Date: | 08/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 16906 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
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 |