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

Individual provider Speech-Language Pathologist · NPI 1023439122

Jennifer Michelle Green, SLP is a Speech-Language Pathologist in Fairview Heights, Illinois. Practices as a sole proprietor. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2013
Specialties on file
2
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

212 Vale Dr
Fairview Heights, IL 62208-2541
Phone: (314) 240-1553
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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 2013036904 (MO)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 146.007577 (IL)

Record details

NPI number1023439122
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorYes
NPI enumeratedDecember 17, 2013
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023

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