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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER BOUTWELL, MA, CCC-SLP

Active Sole Proprietor

Speech, Language and Hearing Specialist · RANDLEMAN, NC

Registration Details

NPI Number
1639629900
Provider Type
Individual
Gender
Female
NPI Issued
Oct 10, 2016 (9.5730775381895 yrs)
Last Updated
Oct 10, 2016
License
SP21639 (NC)
Sole Proprietor
Yes

Practice Information

Address
204 E NAOMI ST
RANDLEMAN, NC, 273171844
Browse NC providers · Browse ZIP 27317
Phone
3362679046
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in RANDLEMAN, NC

Name Credential NPI
MRS. JENNIFER SHAW SNOTHERLY MS, CCC-SLP 1629264593
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.