Provider Demographics
NPI:1467784934
Name:MCGUIRE, JENNIFER REBEKAH (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:REBEKAH
Last Name:MCGUIRE
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Gender:F
Credentials:MA, CCC-SLP
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Mailing Address - Street 1:1119 OLD HUMBOLDT ROAD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305
Mailing Address - Country:US
Mailing Address - Phone:731-668-3888
Mailing Address - Fax:731-668-1666
Practice Address - Street 1:1119 OLD HUMBOLDT ROAD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305
Practice Address - Country:US
Practice Address - Phone:731-668-3888
Practice Address - Fax:731-668-1666
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
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Provider Licenses
StateLicense IDTaxonomies
TNSP1957235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist