JEAN THORESON SLT-A NPI 1760997605

NPI Information

  • NPI: 1760997605
  • Provider Name: JEAN THORESON, SLT-A
  • Classification: Specialist/Technologist - 2355S0801X
  • Specialization: Speech-Language Assistant
  • Entity Type: Individual
  • Address: 3948 NEW VISION DR STE D
    FORT WAYNE, IN
    ZIP 46845
  • Phone: (260) 245-1455

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NPI Details

Jean Thoreson, SLT-A is a speech-language assistant specialist technologist in Fort Wayne, IN. Jean Thoreson, SLT-A NPI is 1760997605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3948 NEW VISION DR STE D
FORT WAYNE, IN
ZIP 46845-721
Phone: (260) 245-1455
Fax: (317) 815-3861

The enumeration date for this NPI number is 12/13/2017 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12355S0801XSpecialist/TechnologistSpeech-Language Assistant29001691AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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