NPI 1417290313 · live from the CMS NPI Registry
Jenna Berge
Speech-Language Pathologist, in Kennett Square, PA. National Provider Identifier 1417290313, active.
NPI record
| NPI | 1417290313 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 101 E State St, Kennett Square, PA 19348 |
| Practice phone | 866-745-2273 |
| Mailing address | 435 Turnberry Ct, Bear, DE 19701 |
| Enumerated | March 29, 2013 |
| Last updated | March 29, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 01-0001272 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.