Jennifer Marie Loughmiller

Individual provider Active NPI Speech-Language Pathologist · Floyds Knobs, IN

NPI 1306463633 · NPPES record last updated Jul 2, 2020

Key facts

NPI
1306463633
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
4016 Crestwood Dr
Floyds Knobs, IN 47119-9697
Phone
(502) 649-3933
NPI assigned
Jul 2, 2020
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X Yes

Addresses

Primary practice location

4016 Crestwood Dr
Floyds Knobs, IN 47119-9697

Mailing address

4016 Crestwood Dr
Floyds Knobs, IN 47119-9697
Phone (502) 649-3933

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL FloydsKnobs

Other providers in Floyds Knobs, IN

All providers in Floyds Knobs, IN · Speech-Language Pathologist in Indiana

Sources for this page

Verify at the official NPI Registry.