Jenna Ahlers

Individual provider Active NPI Speech-Language Pathologist · Van Wert, OH

NPI 1003275504 · NPPES record last updated Feb 12, 2016

Key facts

NPI
1003275504
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
11180 (OH)
Practice address
160 Fox Rd
Van Wert, OH 45891-2440
Phone
(419) 238-6655
NPI assigned
Feb 12, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11180OHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 11180 OH Yes

Addresses

Primary practice location

160 Fox Rd
Van Wert, OH 45891-2440

Mailing address

516 W North St
Coldwater, OH 45828-1232
Phone (419) 305-5106

Other providers in Van Wert, OH

All providers in Van Wert, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.