Individual
REBECCA L JENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6906
Mailing address
1821 S STOUGHTON RD, DEAN MEDICAL CENTER, MADISON, WI 53716-2257
(608) 260-6000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1231-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42734300
—
WI
Enumeration date
05/01/2008
Last updated
01/19/2018
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