Jennifer Susan Seedorf, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Yuma, CO
NPI 1922490861 · NPPES record last updated Mar 2, 2015
Key facts
- NPI
- 1922490861
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 00000196 (CO)
- Practice address
- 37177 County Road ZZ
Yuma, CO 80759-8868 - Phone
- (970) 630-2193
- NPI assigned
- Mar 2, 2015
- 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 |
|---|---|---|---|
| 00000196 | CO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 00000196 | CO | Yes |
Addresses
Primary practice location
37177 County Road ZZ
Yuma, CO 80759-8868
Mailing address
37177 County Road ZZ
Yuma, CO 80759-8868
Phone (970) 630-2193
Other providers in Yuma, CO
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- Regional Home Visitation Program
- Alexander Lloyd Rowell
- Mason Chandler Schiltz
- Karli Seymour
- Regan Claresse Silvis
- SSC Yuma Operating Company LLC
- Terri Paul PC
- The Harmony Home, LLC
All providers in Yuma, CO · Speech-Language Pathologist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2015. 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.