Individual
JENNIFER LYNN SOOTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
801 SW FAIRLAWN RD, TOPEKA, KS 66606-2338
(785) 295-8025
(857) 270-7684
Mailing address
1700 SW ST., TOPEKA, KS 66606
(785) 295-8000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5242
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3745
KANSAS DEPARTMENT OF AGING AND DISABILITY
KS
Enumeration date
03/08/2022
Last updated
12/08/2022
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