Provider Demographics
NPI:1285847533
Name:WHIPPLE, JENNIFER (PHD, MT-BC)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:WHIPPLE
Suffix:
Gender:F
Credentials:PHD, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 ELMS PLANTATION BLVD APT 1038
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9386
Mailing Address - Country:US
Mailing Address - Phone:850-544-2029
Mailing Address - Fax:
Practice Address - Street 1:2605 ELMS PLANTATION BLVD APT 1038
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9386
Practice Address - Country:US
Practice Address - Phone:850-544-2029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist