Doctor Name: | MRS. JACLYN ELKINS GARNER |
NPI Number: | 1891151924 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 3612 |
Business Practice Address: | 1610 Center St Suite B Mobile, AL - 366041512 |
Business Phone Number: | 2514151670 |
Business Fax Number: | 2514151671 |
Mailing Address: | 1610 Center St, Suite B MOBILE |
State: | AL |
Postal Code: | 366041512 |
Phone Number: | 2514151670 |
Fax Number: | 2514151671 |
NPI Enumeration Date: | 01/05/2016 |
NPI Last Update Date: | 01/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3612 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |