MEDICARE: MRS. JENNY LYNN HALPIN

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	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1982844155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNY LYNN HALPIN

Provider Business Mailing Address
First Line	:	6950 COUNTRY PLACE ROAD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411
Country	:	US
Telephone Number	:	561-966-9036
Fax Number	:

Provider Business Practice Location Address
First Line	:	6950 COUNTRY PLACE RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2608
Country	:	US
Telephone Number	:	561-966-9036
Fax Number	:

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

Provider Enumeration Date	:	03/02/2009
Last Update Date	:	06/07/2011

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