Provider Demographics
NPI:1760277966
Name:TODD, JENNIFER (HADS)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:TODD
Suffix:
Gender:
Credentials:HADS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1142 DAWSON RD STE 101
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-6800
Mailing Address - Country:US
Mailing Address - Phone:229-888-9249
Mailing Address - Fax:229-888-9249
Practice Address - Street 1:1142 DAWSON RD STE 101
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-6800
Practice Address - Country:US
Practice Address - Phone:229-888-9249
Practice Address - Fax:229-888-9249
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAHADS001150237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist