Individual
MRS. JENNIFER H SPANGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4201 LAKE BOONE TRL, SUITE 4, RALEIGH, NC 27607-7512
(919) 781-4434
(919) 781-5851
Mailing address
4201 LAKE BOONE TRL, SUITE 4, RALEIGH, NC 27607-7512
(919) 781-4434
(919) 781-5851
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5962
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7411934
—
NC
Enumeration date
11/20/2006
Last updated
07/31/2008
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