Green, Jennifer

Green, Jennifer is an individual health care provider with primary practice located at 1010 N. Dudney, Suite D , Magnolia AR 71753. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Green, Jennifer can be contacted via phone (870) 234-2255.

Contact Information

Primary practice address
1010 N. Dudney, Suite D Magnolia AR 71753
Phone: (870) 234-2255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2327 Arkansas

Profile Details

NPI number 1952525974
LBN Legal business name Green, Jennifer
Credentials MA CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Dec 22nd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952525974 NPPES
Other 12093151 ASHA
MEDICAID 161238721 ASHA

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