Jennifer Ruth Mehlich, SPED, M.S.
Individual provider Active NPI Specialist · Bearsville, NY
NPI 1013349679 · NPPES record last updated Aug 6, 2013
Key facts
- NPI
- 1013349679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 1850257 (NY)
- Practice address
- 287 Wittenberg Rd
Bearsville, NY 12409-5632 - Phone
- (845) 684-5628
- NPI assigned
- Aug 6, 2013
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1850257 | NY | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1850257 | NY | Yes |
Addresses
Primary practice location
287 Wittenberg Rd
Bearsville, NY 12409-5632
Mailing address
287 Wittenberg Rd
Bearsville, NY 12409-5632
Phone (845) 684-5628
Other names
- Ms. Jennifer Ruth Dignon
Other providers in Bearsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.