Individual
JEANINE STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(563) 343-0310
Mailing address
140 SE DILLON DR, WAUKEE, IA 50263-2108
(563) 343-0310
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002371
IA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/20/2016
Last updated
03/11/2024
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