Jennifer Marie Obert

Individual provider Active NPI Speech-Language Pathologist · Morganfield, KY

NPI 1952500480 · NPPES record last updated Jul 14, 2007

Key facts

NPI
1952500480
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
KY-07-014 (KY)
Practice address
509 N Carrier St
Morganfield, KY 42437-1201
Phone
(270) 389-3513
Fax
(270) 389-4706
NPI assigned
Jul 14, 2007
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

LicenseStateTypeSpecialty
KY-07-014KYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X KY-07-014 KY Yes

Addresses

Primary practice location

509 N Carrier St
Morganfield, KY 42437-1201

Mailing address

600 Wallie Clements Rd
Waverly, KY 42462-7020
Phone (270) 389-3045

Other providers in Morganfield, KY

All providers in Morganfield, KY · Speech-Language Pathologist in Kentucky

Sources for this page

Verify at the official NPI Registry.