Provider Demographics
NPI:1770600553
Name:PAPANIA, JENNNIFER (MS CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:JENNNIFER
Middle Name:
Last Name:PAPANIA
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 1:2020 WALNUT ST
Mailing Address - Street 2:APARTMENT 6B
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-5635
Mailing Address - Country:US
Mailing Address - Phone:410-258-6220
Mailing Address - Fax:
Practice Address - Street 1:2020 WALNUT ST
Practice Address - Street 2:APARTMENT 6B
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-5635
Practice Address - Country:US
Practice Address - Phone:410-258-6220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist