Individual
JENNIE LYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC/SLP
Contact information
Practice address
6152 CALM BREEZE AVE, UNIT 103, LAS VEGAS, NV 89108-5192
(702) 645-8243
Mailing address
6152 CALM BREEZE AVE, UNIT 103, LAS VEGAS, NV 89108-5192
(702) 645-8243
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP694
NV
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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