NPI 1336595172

Jennifer Wade, MEDCCCSLP

Practitioner Speech-Language Pathologist Quitman, GA

Practice location

Address: 336 Ramblin Rd, Quitman, GA 31643-5809
Phone: (229) 506-1362

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SLP005982 (GA)

Other Speech-Language Pathologist providers in Georgia →

Registry record

NPI: 1336595172
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2016
Record last updated: 11 May 2016

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.