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Contact Information

JENNIFER GREEN, MA CCC-SLP
1010 N. DUDNEY, SUITE D
MAGNOLIA, AR71753
 Phone: 870-234-2255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for JENNIFER GREEN · (Female)

NPI Number 1952525974
Status Active
Credentials MA CCC-SLP
Entity Individual
Enumeration date 04/12/2007
Last updated 12/22/2011 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • AR License # 2327
  • AR Medicaid 161238721
  • Other 12093151 ASHA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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