Provider Demographics
NPI:1184859845
Name:WEINSTEIN, JENNI R (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JENNI
Middle Name:R
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 HAMPDEN LN
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-6732
Mailing Address - Country:US
Mailing Address - Phone:732-261-9735
Mailing Address - Fax:
Practice Address - Street 1:8200 HAMPDEN LN
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-6732
Practice Address - Country:US
Practice Address - Phone:732-261-9735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist