PATTI JEAN JACKE

ORMOND BEACH, FL
NPI1508008251
Former NamePATTI JEAN JACKE-TERMINELLO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA9828)
Additional Taxonomies231H00000X Audiologist
(Licence: CT  000212)
231H00000X Audiologist
(Licence: FL  AY1537)
231H00000X Audiologist
(Licence: NY  000528-1)
235Z00000X Speech-Language Pathologist,
(Licence: CT  002993)
235Z00000X Speech-Language Pathologist,
(Licence: NY  010690-1)
Enumeration Date2009-03-26
Last Update Date2009-03-26
Business Address
Ms. PATTI JEAN JACKE M.A.
3014 GLIN CIRCLE
ORMOND BEACH, FL 32174
Phone number: 386-492-7333
Mailing Address
Ms. PATTI JEAN JACKE M.A.
3014 GLIN CIRCLE
ORMOND BEACH, FL 32174-2000
Phone number: 386-492-7333