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NPI Code Detail

MEDICARE: JENNIFER ELLEN COX M.A, CCC-SLP

MEDICARE: JENNIFER ELLEN COX 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
1235Z00000XSpeech-Language PathologistSP-897NV

General Provider Information

NPI Number : 1689887903
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ELLEN COX M.A, CCC-SLP
Provider Business Mailing Address
First Line : 650 S TOWN CENTER DR
Second Line : #1033
City : LAS VEGAS
State : NV
Zip : 89144-4419
Country : US
Telephone Number : 702-202-6601
Fax Number :
Provider Business Practice Location Address
First Line : 2832 E FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5205
Country : US
Telephone Number : 702-799-0235
Fax Number : 702-799-2835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 07/08/2007

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Directions to “ JENNIFER ELLEN COX M.A, CCC-SLP” Practice Location

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