Provider Demographics
NPI:1720053242
Name:JENDZEL, JULI ANNE (MA,CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JULI
Middle Name:ANNE
Last Name:JENDZEL
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2141 26TH AVE
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-6614
Mailing Address - Country:US
Mailing Address - Phone:970-302-5022
Mailing Address - Fax:
Practice Address - Street 1:2141 26TH AVE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-6614
Practice Address - Country:US
Practice Address - Phone:970-302-5022
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist