Jennifer T Jolley, SLP

Individual provider Active NPI Speech-Language Pathologist · Salina, UT

NPI 1932397312 · NPPES record last updated Feb 24, 2011

Key facts

NPI
1932397312
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
664882-4102 (UT)
Practice address
45 N State St
Salina, UT 84654-1363
Phone
(435) 529-2234
Fax
(435) 529-2236
NPI assigned
Oct 10, 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)
Yes

State licenses

LicenseStateTypeSpecialty
664882-4102UTMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 664882-4102 UT Yes

Addresses

Primary practice location

45 N State St
Salina, UT 84654-1363

Mailing address

45 N State St
Salina, UT 84654-1363
Phone (435) 529-2234

Other providers in Salina, UT

All providers in Salina, UT · Speech-Language Pathologist in Utah

Sources for this page

Verify at the official NPI Registry.