Individual
JEFF THOMAS BACKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP MA
Contact information
Practice address
4725 MERLE HAY RD, DES MOINES, IA 50322-1983
(515) 331-3190
Mailing address
313 N 13TH ST, INDIANOLA, IA 50125-1617
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002005
IA
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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