Individual
JENNIFER ELLEN FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
900 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5244
(931) 538-6274
(931) 647-8246
Mailing address
900 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5244
(931) 538-6274
(931) 647-8246
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4461
TN
Other
Enumeration date
10/27/2011
Last updated
05/16/2012
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