Individual
MRS. JENNIFER ILICH NEATHERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
53 W RIVER RD, LOUISBURG, NC 27549-9102
(919) 496-2600
Mailing address
10 FLEMING FOREST DR, YOUNGSVILLE, NC 27596-8727
(919) 671-2623
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8648
NC
Other
Enumeration date
04/08/2024
Last updated
03/27/2026
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