Provider Demographics
NPI:1508511353
Name:THOMAS, JENNIFER RHEANN
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:RHEANN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8801 BRAMBLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47725-7527
Mailing Address - Country:US
Mailing Address - Phone:217-827-9966
Mailing Address - Fax:
Practice Address - Street 1:8801 BRAMBLEWOOD LN
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47725-7527
Practice Address - Country:US
Practice Address - Phone:217-827-9966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist