Doctor Name: | MS. JENNIFER MARIE OBERT |
NPI Number: | 1952500480 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | KY-07-014 |
Business Practice Address: | 509 N Carrier St Morganfield, KY - 424371201 |
Business Phone Number: | 2703893513 |
Business Fax Number: | 2703894706 |
Mailing Address: | 600 Wallie Clements Rd, WAVERLY |
State: | KY |
Postal Code: | 424627020 |
Phone Number: | 2703893045 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2007 |
NPI Last Update Date: | 07/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | KY-07-014 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |