Individual provider · NPI-1

Jennifer Dyan Casey, M.S. CCC-SLP

Speech-Language Pathologist, · Queen Creek, AZ

NPI number1174643746
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1174643746
Entity type
Individual (NPI-1)
Name
Jennifer Dyan Casey
Credential
M.S. CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 29, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SLP4017AZYes

Practice location

20872 E Via Del Palo
Queen Creek, AZ 85242-6943

Phone 480-993-9279

Mailing address

20872 E Via Del Palo
Queen Creek, AZ 85242-6943

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Speech-Language Pathologist, providers in Queen Creek, AZ