Doctor Name: | JOHN JENKINS |
NPI Number: | 1851711063 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | SLP-SP-LIC-3196 |
Business Practice Address: | 2475 Winne Ave Helena, MT - 596014914 |
Business Phone Number: | 4064421350 |
Business Fax Number: | |
Mailing Address: | 801 Orange Ave, HELENA |
State: | MT |
Postal Code: | 596010442 |
Phone Number: | 5032014691 |
Fax Number: | |
NPI Enumeration Date: | 04/27/2014 |
NPI Last Update Date: | 04/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP-SP-LIC-3196 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
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 |