| Doctor Name: | MRS. JENNY LYN HEPOKOSKI |
| NPI Number: | 1770747354 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR/L |
| License Number: | 8380 |
| Business Practice Address: | 5155 E River Rd #403 Fridley, MN - 554211025 |
| Business Phone Number: | 7635722519 |
| Business Fax Number: | 7635722616 |
| Mailing Address: | 5155 E River Rd, #403 FRIDLEY |
| State: | MN |
| Postal Code: | 554211025 |
| Phone Number: | 7635722519 |
| Fax Number: | 7635722616 |
| NPI Enumeration Date: | 07/14/2008 |
| NPI Last Update Date: | 07/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 8380 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| 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 |