Provider Demographics
NPI:1013186295
Name:SINNARD, JENNIFER JO (MS ED)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:JO
Last Name:SINNARD
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 E 25TH ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-4569
Mailing Address - Country:US
Mailing Address - Phone:308-338-9238
Mailing Address - Fax:308-338-9208
Practice Address - Street 1:204 E 25TH ST
Practice Address - Street 2:SUITE 4
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-4569
Practice Address - Country:US
Practice Address - Phone:308-338-9238
Practice Address - Fax:308-338-9208
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE156235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist