Provider Demographics
NPI:1891016952
Name:FRANCO, JENNY ANN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JENNY
Middle Name:ANN
Last Name:FRANCO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4812 SW 166TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-5150
Mailing Address - Country:US
Mailing Address - Phone:786-797-7755
Mailing Address - Fax:
Practice Address - Street 1:4812 SW 166TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-5150
Practice Address - Country:US
Practice Address - Phone:786-797-7755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 10458235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist