Individual
MRS. JENNIFER BROOKE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CCC-A
Contact information
Practice address
1609 E 80TH AVE, MERRILLVILLE, IN 46410-5737
(219) 738-2730
(219) 738-2743
Mailing address
1609 E. 80TH AVE, MERRILLVILLE, IN 46410
(219) 738-7230
(219) 738-2743
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
563-156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093093650
—
WI
01
—
P00972354
RAILROAD
WI
Enumeration date
08/01/2011
Last updated
04/14/2014
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