Individual
VICKI ANN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP-L
Contact information
Practice address
2451 E BASELINE RD, GILBERT, AZ 85234-2471
(480) 474-4173
Mailing address
1108 N HILLCREST DR, PAYSON, AZ 85541-3320
(928) 978-5101
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146004089
IL
Other
Enumeration date
06/06/2006
Last updated
04/18/2018
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