Jacqueline G Norris, SLP
Individual provider Active NPI Speech-Language Pathologist · Ashtabula, OH
NPI 1508991795 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508991795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP-1352 (OH)
- Practice address
- 2900 Donahoe Dr
Ashtabula, OH 44004 - Phone
- (440) 992-4433
- Fax
- (440) 992-6307
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| SP-1352 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Hearing & Rehabilitation Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-1352 | OH | Yes |
Addresses
Primary practice location
2900 Donahoe Dr
Ashtabula, OH 44004
Mailing address
2900 Donahoe Dr
Ashtabula, OH 44004
Phone (440) 992-4433
Other providers in Ashtabula, OH
- Brenda J. Norman
- Damon Jerrod Norman
- Jennifer Norman
- Kara Norman
- Leona Rae Norman
- North Shore Psychological Services LTD
- Nicole Marie Noscal
- David J. Novak
- Andrea Nunley
- Valerie Nye
All providers in Ashtabula, 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 Jul 8, 2007. 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.