Doctor Name: | JENNIFER ELLEN FOX |
NPI Number: | 1942586599 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 4461 |
Business Practice Address: | 900 Professional Park Dr Clarksville, TN - 370405244 |
Business Phone Number: | 9315386274 |
Business Fax Number: | 9316478246 |
Mailing Address: | 900 Professional Park Dr, CLARKSVILLE |
State: | TN |
Postal Code: | 370405244 |
Phone Number: | 9315386274 |
Fax Number: | 9316478246 |
NPI Enumeration Date: | 10/27/2011 |
NPI Last Update Date: | 05/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4461 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |