Jennifer Faith Darley, M.A.,CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Starke, FL

NPI 1700943149 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1700943149
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SA6801 (FL)
Practice address
603 E Call St
Starke, FL 32091-3405
Phone
(904) 964-8900
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

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 Arts

State licenses

LicenseStateTypeSpecialty
SA6801FLMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA6801 FL Yes

Addresses

Primary practice location

603 E Call St
Starke, FL 32091-3405

Mailing address

603 E Call St
Starke, FL 32091-3405
Phone (904) 964-8900

Other providers in Starke, FL

All providers in Starke, FL · Speech-Language Pathologist in Florida

Sources for this page

Verify at the official NPI Registry.