Individual
JACLYN KIENZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC, SLP
Contact information
Practice address
419 E MAIN ST, HENDERSONVILLE, TN 37075-2756
(615) 348-1970
Mailing address
421 VAN BUREN ST, NASHVILLE, TN 37208-2758
(219) 781-1482
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 0000004299
TN
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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