Provider Demographics
NPI:1023500659
Name:COTE, JENNA MARIE (SLP)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:MARIE
Last Name:COTE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 BELL ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-6230
Mailing Address - Country:US
Mailing Address - Phone:806-677-5224
Mailing Address - Fax:806-677-5223
Practice Address - Street 1:5800 BELL ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-6230
Practice Address - Country:US
Practice Address - Phone:806-677-5224
Practice Address - Fax:806-677-5223
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113601235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist