Individual
JENNA MARIE KIRCHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2883 S CIRCLE DR, COLORADO SPRINGS, CO 80906-4112
(719) 570-7474
Mailing address
2883 S CIRCLE DR, COLORADO SPRINGS, CO 80906-4112
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3724-154
WI
235Z00000X
Speech-Language Pathologist
Primary
SLP.0005907
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100030185
—
WI
Enumeration date
09/05/2012
Last updated
09/19/2024
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