Jennifer Lynn Meyer, SLP
Individual provider Active NPI Speech-Language Pathologist · Jackson, WI
NPI 1104333053 · NPPES record last updated Jan 1, 2018
Key facts
- NPI
- 1104333053
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1001187403 (WI)
- Practice address
- N164W21240 Dunbar CT
Jackson, WI 53037-9363 - Phone
- (262) 305-1864
- NPI assigned
- Jan 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001187403 | WI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1001187403 | WI | Yes |
Addresses
Primary practice location
N164W21240 Dunbar CT
Jackson, WI 53037-9363
Mailing address
N164W21240 Dunbar CT
Jackson, WI 53037-9363
Phone (262) 305-1864
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- Pako M Major
- Nathan R Matje
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- Jessica Ann Melstrand
- Karen Elizabeth Micallef
- Lauren Ann Mies
- Judith Barbara Miller
- Elizabeth Marie Mortag
- Nohc Jackson Senior Living LLC
All providers in Jackson, WI · Speech-Language Pathologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.