Provider Demographics
NPI:1104280221
Name:HOWARD, JENNIFER D (MA CCC-A)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:D
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MA CCC-A
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Other - Credentials:
Mailing Address - Street 1:2300 PENNSYLVANIA AVE 1C
Mailing Address - Street 2:WILMINGTON AUDIOLOGY SERVICES
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-1333
Mailing Address - Country:US
Mailing Address - Phone:302-654-1011
Mailing Address - Fax:302-654-4313
Practice Address - Street 1:2300 PENNSYLVANIA AVE 1C
Practice Address - Street 2:WILMINGTON AUDIOLOGY SERVICES
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-1333
Practice Address - Country:US
Practice Address - Phone:302-654-1011
Practice Address - Fax:302-654-4313
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000207702Medicaid
DE448544Medicare PIN