MEDICARE: JENNIFER BARRETT

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	KY-07-022	KY
2	235Z00000X	Speech-Language Pathologist	140081	KY

General Provider Information

NPI Number	:	1497953277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER BARRETT

Provider Business Mailing Address
First Line	:	1984 GREENHILL WELCHBURG RD
Second Line	:
City	:	ANNVILLE
State	:	KY
Zip	:	40402-9721
Country	:	US
Telephone Number	:	606-364-2439
Fax Number	:

Provider Business Practice Location Address
First Line	:	1075 E 4TH ST STE 2
Second Line	:
City	:	LONDON
State	:	KY
Zip	:	40741-2528
Country	:	US
Telephone Number	:	606-330-0223
Fax Number	:

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

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	07/21/2022

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Directions to “ JENNIFER BARRETT ” Practice Location

Language	Start Address	Practice Location

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