Individual
MRS. JENNIFER P. EADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
220 COOKS BRIDGE RD, AIKEN, SC 29805-7876
(803) 645-2984
Mailing address
220 COOKS BRIDGE RD, AIKEN, SC 29805-7876
(803) 645-2984
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3640
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0660
—
SC
Enumeration date
05/12/2007
Last updated
09/09/2009
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