Provider Demographics
NPI:1528316866
Name:STOLTZ, JENIFER LYNNE (BC-HIS)
Entity type:Individual
Prefix:MRS
First Name:JENIFER
Middle Name:LYNNE
Last Name:STOLTZ
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 BATTLEFIELD BLVD N STE N
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-4943
Mailing Address - Country:US
Mailing Address - Phone:757-312-8100
Mailing Address - Fax:
Practice Address - Street 1:701 BATTLEFIELD BLVD N STE N
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4943
Practice Address - Country:US
Practice Address - Phone:757-312-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2101001676237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist