Individual
JAIME TENNYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
13325 SHILOH RD, CONIFER, CO 80433-5103
(303) 910-1554
(303) 484-2524
Mailing address
13325 SHILOH RD, CONIFER, CO 80433-5103
(303) 910-1554
(303) 484-2524
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12071582
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32781393
—
CO
Enumeration date
01/15/2006
Last updated
03/05/2016
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