Individual
MRS. JENNY LYNN GENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3625 W CHESTNUT ST, ROGERS, AR 72756-0351
(479) 246-0101
Mailing address
3625 W. CHESTNUT ST., ROGERS, AR 72756
(479) 246-0101
(479) 246-0606
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3839
AR
235Z00000X
Speech-Language Pathologist
Primary
SP3839
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206288721
—
AR
Enumeration date
09/11/2013
Last updated
12/20/2021
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