Individual
DR. RANDY JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC/SLP
Contact information
Practice address
510 S COLLEGE AVE, SALEM, VA 24153-5054
(540) 389-0130
(540) 389-3638
Mailing address
510 S COLLEGE AVE, SALEM, VA 24153-5054
(540) 389-0130
(540) 389-3638
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003350
VA
Other
Enumeration date
11/17/2017
Last updated
07/21/2022
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