Individual
MISS JENNIFER LYNN BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CFY-SLP
Contact information
Practice address
1111 N MISSION PARK BLVD, #1088, CHANDLER, AZ 85224-3988
(815) 762-0723
(480) 899-0330
Mailing address
1111 N MISSION PARK BLVD, #1088, CHANDLER, AZ 85224-3988
(815) 762-0723
(480) 899-0330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP5742
AZ
Other
Enumeration date
11/12/2012
Last updated
11/12/2012
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