Jennifer Robin Van Sciver, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Mendon, VT
NPI 1205976586 · NPPES record last updated Feb 23, 2023
Key facts
- NPI
- 1205976586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 12030344 (VT)
- Practice address
- 79 Top RDG
Mendon, VT 05701-9645 - Phone
- (802) 342-8735
- NPI assigned
- Feb 7, 2007
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12030344 | VT | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12030344 | VT | Yes |
Addresses
Primary practice location
79 Top RDG
Mendon, VT 05701-9645
Mailing address
79 Top RDG
Mendon, VT 05701-9645
Phone (802) 342-8735
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12030344 | Other | VT | ASHA CERTIFICATION |
Other providers in Mendon, VT
- Lactation Resources of VT Inc
- Amy Peacock
- Ali Warhaftig Pierce
- Promise Lactation Consulting
- Lauren Ann Sampson
- Harvey David Zara
- Shelley Anne Zara
All providers in Mendon, VT · Speech-Language Pathologist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2023. 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.