Jennifer Fendrick in Brandon - Speech-language Pathologist

Jennifer Fendrick - NPI 1447354923

Jennifer Fendrick is a Speech-language Pathologist in Brandon, Florida. Jennifer Fendrick practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Jennifer Fendrick is 1447354923. The last update date is 2011-02-03.

Jennifer Fendrick's current location address is 602 Vonderburg Dr, Brandon, Florida. You can contact this provider via phone number 8136531149 and fax number 8136546644. The mailing address for Jennifer Fendrick is 602 Vonderburg Dr, Brandon, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Fendrick
Address 602 Vonderburg Dr, Brandon, Florida
Phone Number 8136531149
Fax Number 8136546644
Sole Proprietor N
Credentials M.S., C.C.

NPI Number Detail

NPI Number 1447354923
Provider Enumeration Date 2006-09-12
Last Updated Date 2011-02-03

Provider Mailing Address Detail

Address 602 Vonderburg Dr
City Brandon
State Florida (FL)
Post Code 335115900
Phone Number 8136531149
Fax Number 8136546644

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No SA748
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
811997000 FL --
886287700 FL --
S2163 FL BC/BS OF FLORIDA #

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FAQs about Jennifer Fendrick

What is the Jennifer Fendrick's unique identification number?

The Jennifer Fendrick has been assigned the NPI (National Provider Identifier) Number 1447354923 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Jennifer Fendrick is physically located?

The Jennifer Fendrick is situated at the following address: 602 Vonderburg Dr, Brandon, FL 335115900.

What is the area of specialization for Jennifer Fendrick, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jennifer Fendrick is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of expertise is 235Z00000X.

On what date did the Jennifer Fendrick receive its 1447354923 assignment from the Centers for Medicare & Medicaid Services?

The Jennifer Fendrick was assigned its 1447354923 by the Centers for Medicare & Medicaid Services on 2006-09-12.

As of what date were the Jennifer Fendrick's details last updated?

The information pertaining to the Jennifer Fendrick, including its address, specialty, and other details, was most recently updated on 2011-02-03.

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