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Jennifer Anne Whelan, MS. CCC-SLP

Speech-Language Pathologist, in Salt Lake City, UT. Individual provider (NPI-1).

NPI number1407367121
StatusActive
Last updated in NPPESOct 20, 2017

Details

NPI
1407367121
Entity type
Individual (NPI-1)
Name
Jennifer Anne Whelan
Credential
MS. CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 20, 2017
Last updated
Oct 20, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,9857033-4102UTYes

Practice location

630 E 18th Ave
Salt Lake City, UT 84103-3715

Phone 720-269-9309

Mailing address

630 E 18th Ave
Salt Lake City, UT 84103-3715

Phone 720-269-9309

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