Individual
MRS. JENNIFER ROBIN VAN SCIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
79 TOP RDG, MENDON, VT 05701-9645
(802) 342-8735
Mailing address
79 TOP RDG, MENDON, VT 05701-9645
(802) 342-8735
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12030344
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12030344
ASHA CERTIFICATION
VT
Enumeration date
02/07/2007
Last updated
02/23/2023
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