Jacqueline Kay Cunningham, M.S., CCC-SLP

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

NPI 1225577844 · NPPES record last updated Feb 15, 2017

Key facts

NPI
1225577844
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP 4782 (OH)
Practice address
304 Mill St
Woodsfield, OH 43793-1256
Phone
(740) 472-5801
NPI assigned
Feb 15, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
SP 4782OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Switzerland of Ohio Local School District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP 4782 OH Yes

Addresses

Primary practice location

304 Mill St
Woodsfield, OH 43793-1256

Mailing address

105 Crestview LN
Moundsville, WV 26041-4028
Phone (304) 830-4348

Other providers in Woodsfield, OH

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

Sources for this page

Verify at the official NPI Registry.