Individual
JENNIFER H WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10620 PARK RD, SUITE 200, CHARLOTTE, NC 28210-8472
(704) 667-2500
(704) 667-2507
Mailing address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-4370
(704) 355-4231
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5636
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1413V
BCBS
NY
05
—
7412495
—
NC
01
—
92445
MEDCOST
NC
Enumeration date
08/02/2006
Last updated
01/12/2015
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