Individual
ESSIE J JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2148 AWAPUHI STREET, HILO, HI 96720-5290
(808) 365-8128
(808) 961-6383
Mailing address
PO BOX 68, HONOMU, HI 96728-0068
(808) 209-7165
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1692
HI
235Z00000X
Speech-Language Pathologist
ST-1692
HI
235Z00000X
Speech-Language Pathologist
—
OR
Other
Enumeration date
01/11/2022
Last updated
07/13/2022
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