Individual provider · NPI-1

Dr. Jeniffer Dutka, Ph.D.

Speech-Language Pathologist, · Sandy Springs, GA

NPI number1407002769
StatusActive
Last updated in NPPESSep 9, 2008

Details

NPI
1407002769
Entity type
Individual (NPI-1)
Name
Dr. Jeniffer Dutka
Credential
Ph.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 18, 2008
Last updated
Sep 9, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SLP01121865GAYes

Practice location

407 Greyfield Ln
Sandy Springs, GA 30350-2075

Phone 678-200-7214 · Fax 404-785-3706

Mailing address

407 Greyfield Ln
Sandy Springs, GA 30350-2075

Phone 678-200-7214 · Fax 404-785-3706

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