Individual
JENNA PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 N NOTRE DAME AVE, SOUTH BEND, IN 46617-2907
(419) 707-0848
Mailing address
116 N NOTRE DAME AVE, SOUTH BEND, IN 46617-2907
(419) 707-0848
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22008540A
IN
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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