Individual
DR. JENNIFER MARY PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
414 E CLARK ST, VERMILLION, SD 57069-2307
(605) 677-5474
Mailing address
414 E CLARK ST, VERMILLION, SD 57069-2307
(605) 677-5474
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1042-A
SD
231H00000X
Audiologist
147.001536
IL
Other
Enumeration date
01/13/2015
Last updated
07/17/2020
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