Provider Demographics
NPI:1053331553
Name:SAXION, JENNIFER VARGO (AUD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:VARGO
Last Name:SAXION
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:VARGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1811 HISTORICAL RD
Mailing Address - Street 2:
Mailing Address - City:STRONGSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15957-9318
Mailing Address - Country:US
Mailing Address - Phone:814-749-7035
Mailing Address - Fax:
Practice Address - Street 1:501 HOWARD AVE
Practice Address - Street 2:D203
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-4810
Practice Address - Country:US
Practice Address - Phone:814-946-0721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT005968231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist