MEDICARE: JENNIFER NORMAN SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	2002020204	MO

General Provider Information

NPI Number	:	1477872794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER NORMAN SLP

Provider Business Mailing Address
First Line	:	3000 NE 108TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64156-6314
Country	:	US
Telephone Number	:	816-321-6901
Fax Number	:	816-321-5021

Provider Business Practice Location Address
First Line	:	3000 NE 108TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64156-6314
Country	:	US
Telephone Number	:	816-321-6901
Fax Number	:	816-321-5021

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2010
Last Update Date	:	03/17/2018

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Directions to “ JENNIFER NORMAN SLP” Practice Location

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