Jessica Accordino, SLP
Individual provider Active NPI Speech-Language Pathologist · Fairlawn, OH
NPI 1336646702 · NPPES record last updated Apr 11, 2018
Key facts
- NPI
- 1336646702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP12914 (OH)
- Practice address
- 150 N Miller Rd Ste 150a
Fairlawn, OH 44333-3713 - Phone
- (330) 867-2240
- NPI assigned
- Apr 11, 2018
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| SP12914 | OH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP12914 | OH | Yes |
Addresses
Primary practice location
150 N Miller Rd Ste 150a
Fairlawn, OH 44333-3713
Mailing address
150 N Miller Rd Ste 150a
Fairlawn, OH 44333-3713
Phone (330) 867-2240
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All providers in Fairlawn, OH · Speech-Language Pathologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2018. 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.