Basic Information
Provider Information
NPI: 1427187244
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POUND
FirstName: JENNIFER
MiddleName: A.
NamePrefix: MISS
NameSuffix:  
Credential: M.A.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2510 E SUNSET RD
Address2: UNIT 5-260
City: LAS VEGAS
State: NV
PostalCode: 891203511
CountryCode: US
TelephoneNumber: 7027980113
FaxNumber: 8662915242
Practice Location
Address1: 10071 PINES BLVD
Address2: SUITE C
City: PEMBROKE PINES
State: FL
PostalCode: 33024
CountryCode: US
TelephoneNumber: 9544385462
FaxNumber: 9544376252
Other Information
ProviderEnumerationDate: 03/05/2007
LastUpdateDate: 10/02/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000X4063NMN Speech, Language and Hearing Service ProvidersAudiologist 
231H00000XAY1597FLY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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