Most Relevant Information
Provider Data
| NPI Number: | 1003059148 |
| Provider Name: | MAUREEN JENNINGS CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 017067 |
Most Important Dates
| Enumeration Date: | 04/17/2009 |
| Last Updated: | 09/08/2013 |
Provider Practice Location
2301 ROSCOMARE RD
#104
LOS ANGELES
CA
900771836
Practice Location Phone/Fax
| Phone: | 3106633868 |
| Fax: |
Provider Mailing Location
2301 ROSCOMARE RD
#104
LOS ANGELES
CA
900771836
Provider Mailing Phone/Fax
| Phone: | 3106633868 |
| Fax: |