Individual
PATRICIA LANG JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2506 DANVILLE RD SW, SUITE 200, DECATUR, AL 35603-4232
(256) 350-6331
(256) 350-1990
Mailing address
1908 FLINT RD SE, DECATUR, AL 35601-6031
(256) 340-9708
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP2438
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
GROUP NPI
AL
01
—
529917620
MEDICAID GROUP
AL
01
—
K531
MEDICARE GROUP
AL
Enumeration date
02/26/2008
Last updated
03/27/2009
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