Jessica Marie Beran, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Streetsboro, OH

NPI 1144930702 · NPPES record last updated Dec 5, 2022

Key facts

NPI
1144930702
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP.14800 (OH)
Practice address
1645 Maplewood Dr
Streetsboro, OH 44241-5662
Phone
(330) 626-3031
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
Yes

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
SP.14800OHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.14800 OH Yes

Addresses

Primary practice location

1645 Maplewood Dr
Streetsboro, OH 44241-5662

Mailing address

2800 Franklin Blvd Apt 307
Cleveland, OH 44113-2911
Phone (440) 773-5192

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address jberan@adaptiverehab.com Direct

Other providers in Streetsboro, OH

All providers in Streetsboro, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.