MS. Jennifer M Mix, SLP
NPI #1164631271 in St Petersburg, Florida
Provider Information
- NPI Number
- 1164631271
- Entity Type
- Individual
- Name
- MS. Jennifer M Mix, SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLP
- Enumeration Date
- May 22, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3950 3RD ST N
- Address 2
- SUITE D
- City
- St Petersburg
- State
- Florida
- ZIP Code
- 33703-6123
- Phone
- (727) 896-8086
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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