NPI 1023439122

Jennifer Michelle Green, SLP

Practitioner Speech-Language Pathologist Fairview Heights, IL

Practice location

Address: 212 Vale Dr, Fairview Heights, IL 62208-2541
Phone: (314) 240-1553

Registered specialties (2)

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 2013036904 (MO)

Other Speech-Language Pathologist providers in Illinois →

Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 146.007577 (IL)

Registry record

NPI: 1023439122
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Dec 2013
Record last updated: 25 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.