Jennifer Clayborn, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.7107 Issued in OH

Practice address

42101 Griswold Rd
Elyria, OH 44035-2117

Phone

(440) 284-8250

NPI assigned

Apr 29, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1346650413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42101 GRISWOLD RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352117",
            "telephone_number": "440-284-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42101 GRISWOLD RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352117",
            "telephone_number": "440-284-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYBORN",
        "first_name": "JENNIFER",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.7107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Elyria (Elyria City Health District)
• Alexis Clark
• Elizabeth Leona Clark, NP
• Katherine Ann Clark, LPN
• Lori Clark, ACNP
• CMMC Pathway LLC (Recovery Matters)
• CMMC Pathway LLC (Recovery Matters)
• Jack Coates Jr., D.C.
• Jennifer Lynn Coffey, CDCA
• David William Coffman, ABOC LDO

• Speech-Language Pathologist in Elyria, OH
• Providers in Elyria, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.