Wendi M Jorgensen, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Matamoras, OH
NPI 1376042390 · NPPES record last updated Apr 24, 2020
Key facts
- NPI
- 1376042390
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP11829 (OH)
- Practice address
- 44870 Oh-7
Matamoras, OH 45767 - Phone
- (740) 865-3473
- NPI assigned
- Feb 5, 2018
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| SP11829 | OH | MD | Speech-Language Pathologist |
| LL60793488 | WA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP11829 | OH | Yes |
| Speech-Language Pathologist | 235Z00000X | LL60793488 | WA |
Addresses
Primary practice location
44870 Oh-7
Matamoras, OH 45767
Mailing address
44870 Oh-7
Matamoras, OH 45767
Phone (703) 627-1737
Other providers in Matamoras, OH
All providers in Matamoras, 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 24, 2020. 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.