Active NPI
Jennifer Wai Prince, SLP-CCC
- Speech-Language Pathologist
- Philadelphia, PA
National Provider Identifier
1124296934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL008328
- Practice address
- 100 W Lehigh Ave
Philadelphia, PA 19133-4039 - Phone
- (215) 203-3000
- NPI assigned
- Feb 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL008328 | PA | Primary |
Addresses
Primary practice location
100 W Lehigh Ave
Philadelphia, PA 19133-4039
Mailing address
403 Wellesley Rd
Philadelphia, PA 19119-2908
Phone (215) 356-3188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL008328 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287619200000",
"number": "1124296934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 WELLESLEY RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191192908",
"telephone_number": "215-356-3188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W LEHIGH AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191334039",
"telephone_number": "215-203-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "JENNIFER",
"middle_name": "WAI",
"name_prefix": "Ms.",
"credential": "SLP-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-14",
"last_updated": "2010-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL008328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.