MEDICARE: JENNIFER H BROOKS M.A., 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
1	235Z00000X	Speech-Language Pathologist	30001336	NC

General Provider Information

NPI Number	:	1508155235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER H BROOKS M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	333 DEER PARK LAKE RD
Second Line	:
City	:	SPRUCE PINE
State	:	NC
Zip	:	28777-8469
Country	:	US
Telephone Number	:	828-385-0204
Fax Number	:

Provider Business Practice Location Address
First Line	:	72 LEDGER SCHOOL RD
Second Line	:
City	:	BAKERSVILLE
State	:	NC
Zip	:	28705-7260
Country	:	US
Telephone Number	:	828-766-2220
Fax Number	:

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

Provider Enumeration Date	:	04/04/2011
Last Update Date	:	05/05/2026

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Directions to “ JENNIFER H BROOKS M.A., CCC-SLP” Practice Location

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