Provider Demographics
NPI:1215260807
Name:HARDING, JENIFER LOUISE (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JENIFER
Middle Name:LOUISE
Last Name:HARDING
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 1:2222 WATT AVE
Mailing Address - Street 2:SUITE B-5
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-0500
Mailing Address - Country:US
Mailing Address - Phone:916-483-8282
Mailing Address - Fax:916-483-6699
Practice Address - Street 1:2222 WATT AVE
Practice Address - Street 2:SUITE B-5
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-0500
Practice Address - Country:US
Practice Address - Phone:916-483-8282
Practice Address - Fax:916-483-6699
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16494235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist