NPI 1437618667 · live from the CMS NPI Registry
Jennifer Marie Carlson
Speech-Language Pathologist, in Manistique, MI. National Provider Identifier 1437618667, active.
NPI record
| NPI | 1437618667 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 7870w Us Highway 2, Manistique, MI 49854 |
| Practice phone | 906-341-3254 |
| Mailing address | 629s State Highway M149, Manistique, MI 49854 |
| Enumerated | March 18, 2019 |
| Last updated | January 5, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 7101008729 (MI) |
| Specialist/Technologist, Speech-Language Assistant | 2355S0801X | 144544 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.