Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Ennis, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1639114374

Jennifer Ennis, CCC-SLP is a Speech-Language Pathologist in Conway, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

140 Wofford Rd
Conway, SC 29526-8815
Phone: (843) 455-7505
Fax: (866) 668-9946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 3066 (SC)

Record details

NPI number1639114374
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJune 17, 2006
Last updated in NPPESJuly 13, 2026

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