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NPI Code Detail

MEDICARE: JENNA WEBER M.S., CCC-SLP

MEDICARE: JENNA WEBER 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 PathologistSA17494FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881245165
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA WEBER M.S., CCC-SLP
Provider Business Mailing Address
First Line : 692 108TH AVE N
Second Line :
City : NAPLES
State : FL
Zip : 34108-1865
Country : US
Telephone Number : 239-404-6816
Fax Number :
Provider Business Practice Location Address
First Line : 1421 PINE RIDGE RD STE 120
Second Line :
City : NAPLES
State : FL
Zip : 34109-2116
Country : US
Telephone Number : 239-597-0935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2019
Last Update Date : 08/01/2022

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Directions to “ JENNA WEBER M.S., CCC-SLP” Practice Location

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