Womack, Jennifer L

Womack, Jennifer L is an individual health care provider with primary practice located at 2505 Lakeview Dr Ste 302 , Amarillo TX 79109-1523. 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. Womack, Jennifer L can be contacted via phone (806) 358-8974.

Contact Information

Primary practice address
2505 Lakeview Dr Ste 302 Amarillo TX 79109-1523
Phone: (806) 358-8974
Fax: (806) 359-0506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 24698 Texas

Profile Details

NPI number 1629198338
LBN Legal business name Womack, Jennifer L
Credentials SPEECH LANGUAGE PATH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 9th, 2007 - about 17 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 1629198338 NPPES
Texas MEDICAID 182690101
Texas Other 87741T

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