NPI 1114664679

Jennifer Mask

Practitioner Speech-Language Pathologist Loganville, GA

Practice location

Address: 3715 Harrison Rd STE 100, Loganville, GA 30052-8713
Phone: (678) 377-2833
Fax: (678) 502-7800
Mailing address: 3650 Anglin Rd, Loganville, GA 30052-6116

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SLP012017 (GA)

Other Speech-Language Pathologist providers in Georgia →

Registry record

NPI: 1114664679
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 May 2022
Record last updated: 17 May 2022

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.