Provider Demographics
NPI:1912084229
Name:HARDIN, JENNIFER NOELLE (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:NOELLE
Last Name:HARDIN
Suffix:
Gender:F
Credentials:MS CCC SLP
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Mailing Address - Street 1:1524 SCOTT AVE UNIT 440
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-1518
Mailing Address - Country:US
Mailing Address - Phone:615-944-5253
Mailing Address - Fax:
Practice Address - Street 1:501 CARPENTER AVE
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-2511
Practice Address - Country:US
Practice Address - Phone:704-663-2115
Practice Address - Fax:704-663-2730
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC7243235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist