Individual
MS. JENNA MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1101 CHESTNUT ST FL 16, PHILADELPHIA, PA 19107-3612
(215) 955-6760
Mailing address
7400 MERTON MINTER ST, SPEECH PATHOLOGY AND AUDIOLOGY DEPT, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
111874
TX
235Z00000X
Speech-Language Pathologist
41YS01348300
NJ
235Z00000X
Speech-Language Pathologist
Primary
SL016316
PA
Other
Enumeration date
07/18/2016
Last updated
01/21/2026
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