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NPI Code Detail

MEDICARE: MRS. JENNA MICHELE MEEKS M.S., CCC-SLP

MEDICARE: MRS. JENNA MICHELE MEEKS M.S., CCC-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
1235Z00000XSpeech-Language PathologistSLP 0973AZ

General Provider Information

NPI Number : 1376737692
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNA MICHELE MEEKS M.S., CCC-SLP
Provider Business Mailing Address
First Line : 1946 E RANCHO DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-2613
Country : US
Telephone Number : 480-897-6233
Fax Number :
Provider Business Practice Location Address
First Line : 625 W CORNELL DR
Second Line :
City : TEMPE
State : AZ
Zip : 85283-1759
Country : US
Telephone Number : 480-897-6233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2007
Last Update Date : 08/29/2007

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Directions to “ MRS. JENNA MICHELE MEEKS M.S., CCC-SLP” Practice Location

Language Start Address Practice Location
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