Individual
MS. JENA MICHELLE MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
201 S 4TH ST, HIAWATHA, KS 66434-2402
(785) 742-6464
Mailing address
1505 250TH ST, HIAWATHA, KS 66434-8200
(913) 231-9393
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1263
NE
235Z00000X
Speech-Language Pathologist
2008007856
MO
Other
Enumeration date
08/01/2007
Last updated
09/15/2011
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