Provider Demographics
NPI:1497908867
Name:VAIL-STENCEL, JENNY MARIE (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:MARIE
Last Name:VAIL-STENCEL
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:MARIE
Other - Last Name:VAIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:19814 E VASSAR AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-9403
Mailing Address - Country:US
Mailing Address - Phone:720-353-8939
Mailing Address - Fax:
Practice Address - Street 1:19814 E VASSAR AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-9403
Practice Address - Country:US
Practice Address - Phone:720-353-8939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-29
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4093318235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist