MS. JENNIFER LOUISE FREDENBURG (NPI# 1093321366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093321366 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER LOUISE FREDENBURG |
| Other Name | MS. JENNIFER LOUISE HIRST |
| Credential | M.S., CCC-SLP |
| Practice Address |
645 Tamalpais Dr Corte Madera CA 94925-1613 |
| Practice Telephone | 4159242444 |
| Mailing Telephone | 4159242444 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 30530 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
645 TAMALPAIS DR |
| City | CORTE MADERA |
| State | CA |
| Zip Code | 94925-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740215557 | Suzanne Hanson | Chiropractor | 645 Tamalpais Dr, Corte Madera, CA 94925-1613 | 2006-07-11 |
| 1598251159 | Jessica Liliana Quiroz Zuniga | Massage Therapist | 645 Tamalpais Dr, Corte Madera, CA 94925-1613 | 2018-07-06 |
| 1417482084 | Steven S Bordunov | Chiropractor | 645 Tamalpais Dr, Corte Madera, CA 94925-1613 | 2017-04-20 |
| 1588106942 | Sports Massage Marin | Massage Therapist | 645 Tamalpais Dr, Corte Madera, CA 94925-1613 | 2016-11-15 |
| 1790033793 | Denise Genevieve Santos Ford | Speech-Language Pathologist | 645 Tamalpais Dr, Suite E, Corte Madera, CA 94925-1613 | 2012-08-22 |
| 1861784621 | Jean-louis Richiardone | Acupuncturist | 645 Tamalpais Dr, Suite D, Corte Madera, CA 94925-1613 | 2011-05-11 |
| 1841511599 | Martha G Saul | Marriage & Family Therapist | 645 Tamalpais Dr, Suite D, Corte Madera, CA 94925-1613 | 2010-06-17 |
| 1033229455 | Suzanne B. Hanson Dc A Chiropractic Corporation | Preferred Provider Organization | 645 Tamalpais Dr, Corte Madera, CA 94925-1613 | 2006-08-30 |
| 1841305588 | Darcy Oikawa | Chiropractor | 645 Tamalpais Dr, Corte Madera, CA 94925-1613 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386139061 | California Center for Ms and Neurology Inc | Psychiatry & Neurology | 21 Tamal Vista Blvd Ste 175, Corte Madera, CA 94925 | 2018-06-26 |
| 1982130514 | Summer Nipomnick | Psychologist | 200 Tamal Plaza, Suite 235, Corte Madera, CA 94925 | 2017-05-02 |
| 1376784561 | Marcie Morton | Chiropractor | 2 Fifer Ave Ste 130, Corte Madera, CA 94925 | 2009-03-17 |
| 1154598365 | Kristine Kay Twite Lehnen | Registered Nurse | 42 Creekside Ct, Corte Madera, CA 94925 | 2008-05-15 |
| 1811163884 | Susan Mary Nickerson | Nurse Anesthetist, Certified Registered | 239 Koch Rd, Corte Madera, CA 94925 | 2008-04-30 |
| 1225150485 | Noreen P Dunnigan | Marriage & Family Therapist | 200 Tamal Plaza, Ste 135, Corte Madera, CA 94925 | 2007-04-06 |
| 1356477889 | Rochelle L Teising | Marriage & Family Therapist | 100 Tamal Vista, #160, Corte Madera, CA 94925 | 2007-02-26 |
| 1518019181 | Lynne Harris | Psychologist | 100 Tamal Plaza, Suite 108, Corte Madera, CA 94925 | 2007-01-17 |
| 1801975032 | Julie B Young | Dentist | 81 Casa Buena, Suite 6, Corte Madera, CA 94925 | 2006-11-06 |
| 1033294020 | Ann Margaret O'hare | Internal Medicine | 155 Golden Hind Passage, Corte Madera, CA 94925 | 2006-10-26 |
| Find all providers in zip 94925 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225596943 | Tamalpais Speech and Feeding Therapy, Inc | Speech-Language Pathologist | 100 Tamal Plz Ste 102, Corte Madera, CA 94925-1161 | 2019-03-12 |
| 1083116412 | Marissa Carly Meltzer | Speech-Language Pathologist | 645 Tamalpais Dr Ste B, Corte Madera, CA 94925-1613 | 2018-03-01 |
| 1871980490 | Anna Maria Johnson | Speech-Language Pathologist | 30 Privateer Dr, Corte Madera, CA 94925-1933 | 2015-04-21 |
| 1609163625 | Suzanne Renee Barbour | Speech-Language Pathologist | 33 Granada Dr, Corte Madera, CA 94925-2005 | 2011-06-29 |
| 1487776951 | Kathy Fowler Ans Associates | Speech-Language Pathologist | 654 Oakdale Ave, Corte Madera, CA 94925-1611 | 2007-04-04 |
| 1396351896 | Emily Simons | Speech-Language Pathologist | 645 Tamalpais Dr Ste B, Corte Madera, CA 94925-1613 | 2020-09-20 |
| 1366058927 | Elizabeth Moyle | Speech-Language Pathologist | 645 Tamalpais Dr Ste B, Corte Madera, CA 94925-1613 | 2020-09-18 |
| 1346856218 | Sara Elena Dolan | Speech-Language Pathologist | 645 Tamalpais Dr Ste B, Corte Madera, CA 94925-1613 | 2020-09-16 |
| 1548875735 | Taiya Ryan | Speech-Language Pathologist | 645 Tamalpais Dr Ste B, Corte Madera, CA 94925-1613 | 2020-09-14 |
| 1790245124 | Little Hands Ot | Speech-Language Pathologist | 500 Tamal Plz Ste 525, Corte Madera, CA 94925-1178 | 2019-03-21 |
| Find all providers in CORTE MADERA | ||||
| City | CORTE MADERA |
| Zip Code | 94925 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.