Jennifer Van Otten, SLP
NPI #1316187768 in Los Lunas, New Mexico
Provider Information
- NPI Number
- 1316187768
- Entity Type
- Individual
- Name
- Jennifer Van Otten, SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLP
- Enumeration Date
- Feb 25, 2009
- Last Updated
- Feb 25, 2009
Practice Location
- Address
- 1211 COLIBRI AVE NW
- City
- Los Lunas
- State
- New Mexico
- ZIP Code
- 87031-7441
- Phone
- (505) 865-5301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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