Provider Demographics
NPI:1982025409
Name:AUSTIN, JENNIFER KITCHEN (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:KITCHEN
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:ELIZABETH
Other - Last Name:KITCHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:4500 S MONACO ST
Mailing Address - Street 2:#1732
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3427
Mailing Address - Country:US
Mailing Address - Phone:229-343-5238
Mailing Address - Fax:
Practice Address - Street 1:6866 S YOSEMITE ST
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1407
Practice Address - Country:US
Practice Address - Phone:303-284-4021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-31
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
COSLP.0001679235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist