Jordan Baer-Genson
Individual provider Active NPI Speech-Language Pathologist · Oregon, OH
NPI 1811544752 · NPPES record last updated Aug 16, 2024
Key facts
- NPI
- 1811544752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP.13177 (OH)
- Practice address
- 2715 Eastmoreland Dr
Oregon, OH 43616-2816 - Phone
- (419) 206-9100
- NPI assigned
- Aug 26, 2019
- 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 |
|---|---|---|---|
| SP.13177 | OH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP.13177 | OH | Yes |
Addresses
Primary practice location
2715 Eastmoreland Dr
Oregon, OH 43616-2816
Mailing address
2715 Eastmoreland Dr
Oregon, OH 43616-2816
Phone (419) 206-9100
Other providers in Oregon, OH
- Craig P Assenmacher
- Dennis R Assenmacher
- Joseph A Assenmacher
- Crystal Renee Austin
- Shawn K Backes
- Sharon Ann Bailey
- Carrie Lynn Baker
- Travon Baker Sr.
- Daniah Ballard
- Cathy Barciz
All providers in Oregon, 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 Aug 16, 2024. 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.