Provider Demographics
NPI:1215359161
Name:HARVEY, JENNIFER LAUREN (MS CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:LAUREN
Last Name:HARVEY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:912 S GAY ST
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37902-1814
Mailing Address - Country:US
Mailing Address - Phone:865-594-1540
Mailing Address - Fax:865-594-1531
Practice Address - Street 1:912 S GAY ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37902-1814
Practice Address - Country:US
Practice Address - Phone:865-594-1540
Practice Address - Fax:865-594-1531
Is Sole Proprietor?:No
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist