Jennifer Harper, MA-CCC,SLP

Individual provider Active NPI Speech-Language Pathologist · King, NC

NPI 1033629936 · NPPES record last updated Oct 5, 2017

Key facts

NPI
1033629936
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
5814 (NC)
Practice address
151 Jefferson Church Rd Ste 104
King, NC 27021-8605
Phone
(336) 985-2676
NPI assigned
Oct 5, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5814NCMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5814 NC Yes

Addresses

Primary practice location

151 Jefferson Church Rd Ste 104
King, NC 27021-8605

Mailing address

101 Oak Point Dr
King, NC 27021-9797

Other providers in King, NC

All providers in King, NC · Speech-Language Pathologist in North Carolina

Sources for this page

Verify at the official NPI Registry.