Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer M. Walenciak, SLPA

Individual provider Speech-Language Assistant · NPI 1568005791

Jennifer M. Walenciak, SLPA is a Speech-Language Assistant in Ponca City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2019
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Practice location Address checks out

1605 Blackard Ln
Ponca City, OK 74604-3508
Phone: (580) 304-9767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X · Licence SLPA105 (OK)

Record details

NPI number1568005791
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLPA
Sole proprietorYes
NPI enumeratedOctober 21, 2019
Last updated in NPPESApril 3, 2023
Certification dateApril 3, 2023

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