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Jennifer Anne John, SLP

Speech-Language Pathologist, in Austin, TX. Individual provider (NPI-1).

NPI number1760748545
StatusActive
Last updated in NPPESApr 6, 2012

Details

NPI
1760748545
Entity type
Individual (NPI-1)
Name
Jennifer Anne John
Credential
SLP
Sex
Female
Sole proprietor
No
Enumeration date
Apr 6, 2012
Last updated
Apr 6, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,106638TXYes

Practice location

3607 Manchaca Rd
Austin, TX 78704-5947

Phone 512-444-7219

Mailing address

3607 Manchaca Rd
Austin, TX 78704-5947

Phone 512-444-7219

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