Provider Demographics
NPI:1255166955
Name:WOLFFE, JACQUELINE (SPEECH-LANGUAGE PATH)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:
Last Name:WOLFFE
Suffix:
Gender:F
Credentials:SPEECH-LANGUAGE PATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2913 ASPEN MEADOWS CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89519-7322
Mailing Address - Country:US
Mailing Address - Phone:714-348-4733
Mailing Address - Fax:
Practice Address - Street 1:2913 ASPEN MEADOWS CT
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89519-7322
Practice Address - Country:US
Practice Address - Phone:714-348-4733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP-3997235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist