Individual
MS. JENNIFER RUTH MARTIN MINNELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
40 DUKE MEDICINE CIR, CLINIC 1-I, DURHAM, NC 27710-4000
(919) 684-3451
Mailing address
PO BOX 3887, DURHAM, NC 27710-0001
(919) 684-6471
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5087
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7411750
—
NC
Enumeration date
05/07/2007
Last updated
04/21/2015
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