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NPI Code Detail

MEDICARE: JENNIFER TRAINA

MEDICARE: JENNIFER TRAINA
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 PathologistSP 14091CA

General Provider Information

NPI Number : 1619298791
Entity Type Code : Organization
Provider Name (Legal Business Name) : JENNIFER TRAINA
Provider Business Mailing Address
First Line : 12640 SABRE SPRINGS PKWY
Second Line : SUITE 111
City : SAN DIEGO
State : CA
Zip : 92128-4113
Country : US
Telephone Number : 619-647-6157
Fax Number : 619-334-6548
Provider Business Practice Location Address
First Line : 12640 SABRE SPRINGS PKWY
Second Line : SUITE 111
City : SAN DIEGO
State : CA
Zip : 92128-4113
Country : US
Telephone Number : 619-647-6157
Fax Number : 619-334-6548
Authorized Official
Title or Position : SPEECH LANGUAGE PATHOLOGIST
Name : MRS. JENNIFER TRAINA
Credential : MS, CCC-SLP
Telephone Number : 619-647-6157
Provider Enumeration Date : 06/12/2010
Last Update Date : 06/12/2010

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Directions to “JENNIFER TRAINA ” Practice Location

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