Kimberly Dawn Jasensky MS CCC SLP

NPI 1114068400 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1114068400
Gender Female
Enumeration Date 02/09/2007
Last Updated 11/18/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
7749 NORMANDY BLVD
147
JACKSONVILLE FL, 32221-0756, US
Phone (904) 786-5576
Fax (904) 786-9907
Business Location
3599 UNIVERSITY BLVD SOUTH
JACKSONVILLE FL, 32216-4252, US
Phone (904) 891-2736
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Florida
License Number SA6765
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According to our database, Mrs. Kimberly Dawn Jasensky MS CCC SLP NPI is 1114068400, taxonomy code is 235Z00000X and license number is SA6765, license state is located at Florida. Kimberly Dawn Jasensky MS CCC SLP physically located at 7749 Normandy Blvd, Jacksonville FL, 32221-0756. NPI Number Kimberly Dawn Jasensky MS CCC SLP has the Individual type.

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1114068400 NPI number is provided on an as is basis without warranty of any kind. 1114068400 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Dawn Jasensky MS CCC SLP are for informational purposes only.