Individual
JENNIFER ELIZABETH LONGENECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
9361 S 300 E, SANDY, UT 84070-2902
(801) 826-6916
Mailing address
13122 S VISTA STATION BLVD APT 215, DRAPER, UT 84020-2387
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10418328-4102
UT
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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