Provider Demographics
NPI:1639709041
Name:JARGON GROUP, LLC
Entity Type:Organization
Organization Name:JARGON GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:K
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:469-619-7232
Mailing Address - Street 1:5801 MARVIN D LOVE FWY STE 310
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-2318
Mailing Address - Country:US
Mailing Address - Phone:469-619-7232
Mailing Address - Fax:
Practice Address - Street 1:5801 MARVIN D LOVE FWY STE 310
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-2318
Practice Address - Country:US
Practice Address - Phone:469-619-7232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-24
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty