MS. Jenny Thackston, MS CCC-SLP
NPI #1750666715 in White Hall, Maryland
Provider Information
- NPI Number
- 1750666715
- Entity Type
- Individual
- Name
- MS. Jenny Thackston, MS CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS CCC-SLP
- Enumeration Date
- Oct 20, 2011
- Last Updated
- Oct 20, 2011
Practice Location
- Address
- 1712 STABLERSVILLE ROAD
- City
- White Hall
- State
- Maryland
- ZIP Code
- 21161
- Phone
- (410) 913-9995
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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