Jennifer Michelle Green, SLP
NPI #1023439122 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1023439122
- Entity Type
- Individual
- Name
- Jennifer Michelle Green, SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLP
- Enumeration Date
- Dec 17, 2013
- Last Updated
- Apr 25, 2023
Practice Location
- Address
- 212 VALE DR
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-2541
- Phone
- (314) 240-1553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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