Individual
JENNIFER ANNE WHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. CCC-SLP
Contact information
Practice address
630 E 18TH AVE, SALT LAKE CITY, UT 84103-3715
(720) 269-9309
Mailing address
630 E 18TH AVE, SALT LAKE CITY, UT 84103-3715
(720) 269-9309
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9857033-4102
UT
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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