MEDICARE: MS. JENNIFER DENISE YAGER M.A.

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	SA 7647	FL

General Provider Information

NPI Number	:	1689791659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER DENISE YAGER M.A.

Provider Business Mailing Address
First Line	:	9425 SW 72ND ST
Second Line	:	SUITE 261
City	:	MIAMI
State	:	FL
Zip	:	33173-3251
Country	:	US
Telephone Number	:	305-271-7343
Fax Number	:	305-271-7949

Provider Business Practice Location Address
First Line	:	9425 SW 72ND ST
Second Line	:	SUITE 261
City	:	MIAMI
State	:	FL
Zip	:	33173-3251
Country	:	US
Telephone Number	:	305-271-7343
Fax Number	:	305-271-7949

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

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	07/08/2007

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Directions to “ MS. JENNIFER DENISE YAGER M.A.” Practice Location

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