Provider Demographics
NPI:1891097713
Name:APEL, JENNA
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:APEL
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 1:214 FIELDCREST ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-6415
Mailing Address - Country:US
Mailing Address - Phone:847-404-4719
Mailing Address - Fax:
Practice Address - Street 1:214 FIELDCREST ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-6415
Practice Address - Country:US
Practice Address - Phone:847-404-4719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-29
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242001719235Z00000X
MI7101000937235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist