Provider Demographics
NPI:1528242609
Name:NEAL, JENNYLEE REBECCA (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JENNYLEE
Middle Name:REBECCA
Last Name:NEAL
Suffix:
Gender:F
Credentials:MS CCC-SLP
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Mailing Address - Street 1:12216 IVORY PL
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72916-9520
Mailing Address - Country:US
Mailing Address - Phone:479-648-1888
Mailing Address - Fax:479-648-1999
Practice Address - Street 1:2900 OLD GREENWOOD RD
Practice Address - Street 2:STE I
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-4550
Practice Address - Country:US
Practice Address - Phone:479-648-1888
Practice Address - Fax:479-648-1999
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-24
Last Update Date:2008-08-27
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist