Provider Demographics
NPI:1477828754
Name:ENGLER, JENNIFFER L (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:JENNIFFER
Middle Name:L
Last Name:ENGLER
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 1:3148 HIGHWAY 367 S
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-7473
Mailing Address - Country:US
Mailing Address - Phone:501-941-3500
Mailing Address - Fax:
Practice Address - Street 1:3148 HIGHWAY 367 S
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-7473
Practice Address - Country:US
Practice Address - Phone:501-941-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#P8523235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARSP#P8523OtherARKANSAS BOARD OF EDUCATION IN SPEECH-LANGUAGE PATHOLOGY & AUDILOGY