Jennifer L Cencula, MA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Streetsboro, OH
NPI 1336668995 · NPPES record last updated Sep 14, 2017
Key facts
- NPI
- 1336668995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP.11463 (OH)
- Practice address
- 1645 Maplewood Dr
Streetsboro, OH 44241-5662 - Phone
- (330) 626-3031
- NPI assigned
- Sep 14, 2017
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.11463 | OH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP.11463 | OH | Yes |
Addresses
Primary practice location
1645 Maplewood Dr
Streetsboro, OH 44241-5662
Mailing address
9904 Country Club Cir
Twinsburg, OH 44087-2946
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- Chelsea Cellars
- Kristen Cellars
- Michael Kaiyan Chen
- Samantha Chesney
- Monica L Chester
- Judy Christensen
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All providers in Streetsboro, 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 Sep 14, 2017. 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.