Individual
MS. JENNIFER DIANE HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2420 W 3RD ST, OWENSBORO, KY 42301-0328
(270) 685-3141
Mailing address
2420 W 3RD ST, OWENSBORO, KY 42301-0328
(270) 685-3141
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2849
KY
Other
Enumeration date
04/02/2010
Last updated
04/02/2010
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