Provider Demographics
NPI:1801952858
Name:DUENSING, JEANEEN DIANA (MS CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:JEANEEN
Middle Name:DIANA
Last Name:DUENSING
Suffix:
Gender:F
Credentials:MS CCC SLP
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Mailing Address - Street 1:3019 S PALM DRIVE
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282
Mailing Address - Country:US
Mailing Address - Phone:480-967-2772
Mailing Address - Fax:
Practice Address - Street 1:625 W CORNELL DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283
Practice Address - Country:US
Practice Address - Phone:480-897-6233
Practice Address - Fax:480-838-0061
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZSLP1871235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZSLP1871OtherAZ DEPT OF HEALTH SERVICE