MS. Virginia Suzanne Jeter, M.A., CCC-A

NPI #1952393894 in Maywood, Illinois

Provider Information

NPI Number: 1952393894
Entity Type: Individual
Name: MS. Virginia Suzanne Jeter, M.A., CCC-A
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Audiologist
Credential: M.A., CCC-A
Enumeration Date: Aug 17, 2005
Last Updated: Nov 1, 2018

Practice Location

Address: 2160 S 1ST AVE
Address 2: LOYOLA UNIVERSITY MEDICAL CENTER
City: Maywood
State: Illinois
ZIP Code: 60153-3328
Phone: (708) 216-3821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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