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

Jennifer Mask

Individual provider Speech-Language Pathologist · NPI 1114664679

Jennifer Mask is a Speech-Language Pathologist in Loganville, Georgia. Licensed in Georgia. Registered with an NPI since 2022.

Licensed in
GA
In the registry since
2022

Practice location Address checks out

3715 Harrison Rd Ste 100
Loganville, GA 30052-8713
Phone: (678) 377-2833
Fax: (678) 502-7800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP012017 (GA)

Record details

NPI number1114664679
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 17, 2022
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022
Mailing address3650 Anglin Rd, Loganville, GA 30052-6116

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