Provider Demographics
NPI:1790099505
Name:HUNT, JENNI DAWN (MED CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JENNI
Middle Name:DAWN
Last Name:HUNT
Suffix:
Gender:F
Credentials:MED CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11133 PAMPLONA WAY
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73173-8136
Mailing Address - Country:US
Mailing Address - Phone:405-745-3396
Mailing Address - Fax:405-745-3396
Practice Address - Street 1:11133 PAMPLONA WAY
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73173-8136
Practice Address - Country:US
Practice Address - Phone:405-745-3396
Practice Address - Fax:405-745-3396
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2452235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist