Provider Demographics
NPI:1720756018
Name:LIGON, JENNIFER WRIGHT
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:WRIGHT
Last Name:LIGON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4275 MIDDLE RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-2520
Mailing Address - Country:US
Mailing Address - Phone:540-869-8642
Mailing Address - Fax:
Practice Address - Street 1:4275 MIDDLE RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-2520
Practice Address - Country:US
Practice Address - Phone:540-869-8642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist