Jennifer Ann McCabe

Individual provider Active NPI Speech-Language Pathologist · Eldridge, IA

NPI 1467573246 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1467573246
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
1121 W Maple St
Eldridge, IA 52748-1091
Phone
(563) 285-1966
Fax
(563) 285-1966
NPI assigned
Apr 2, 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

State licenses

LicenseStateTypeSpecialty
146006044ILMDSpeech-Language Pathologist

Specialties & licenses

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

Addresses

Primary practice location

1121 W Maple St
Eldridge, IA 52748-1091

Mailing address

1121 W Maple St
Eldridge, IA 52748-1091
Phone (563) 285-1966

Other providers in Eldridge, IA

All providers in Eldridge, IA · Speech-Language Pathologist in Iowa

Sources for this page

Verify at the official NPI Registry.