Jennifer M. Porter, MS, CCC-SLP Valid NPI
Individual provider · Speech-Language Pathologist · Fort Walton Beach, FL
- NPI
- 1376720144
- Type
- Individual (Type 1)
- Primary specialty
- Speech-Language Pathologist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 235Z00000X
- License number
- SA-9011 (FL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2008-01-23
- Last updated
- 2008-01-23
Practice location
133a Staff Dr Ne
Fort Walton Beach, FL 32548-5050
(850) 664-7799