Individual
JENNIFER LYNN MCNERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
8197 MILLER DR, FREDERICK, CO 80504
(310) 529-6121
Mailing address
8197 MILLER DR, FREDERICK, CO 80504-5507
(310) 529-6121
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0002574
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002574
DEPARTMENT OF REGULATORY AGENCIES
CO
01
—
12082195
AMERICAN SPEECH AND HEARING ASSOCIATION
—
Enumeration date
09/18/2012
Last updated
06/19/2018
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