Provider Demographics
NPI:1477887990
Name:DOWNS, JENNIFER R (ED D, CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:R
Last Name:DOWNS
Suffix:
Gender:F
Credentials:ED D, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1914 LYCOMING AVE
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-1106
Mailing Address - Country:US
Mailing Address - Phone:267-872-7630
Mailing Address - Fax:
Practice Address - Street 1:1914 LYCOMING AVE
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-1106
Practice Address - Country:US
Practice Address - Phone:267-872-7630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL007472235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist