Jessica Maggio
Individual provider Active NPI Speech-Language Pathologist · Brooklyn, OH
NPI 1982061990 · NPPES record last updated Jan 10, 2025
Key facts
- NPI
- 1982061990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 12330 (OH)
- Practice address
- 9200 Biddulph Rd
Brooklyn, OH 44144-2614 - Phone
- (440) 773-1836
- NPI assigned
- Jan 21, 2016
- 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 |
|---|---|---|---|
| 12330 | OH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12330 | OH | Yes |
Addresses
Primary practice location
9200 Biddulph Rd
Brooklyn, OH 44144-2614
Mailing address
4398 Newberry Dr
Brooklyn, OH 44144-2828
Phone (440) 773-1836
Other providers in Brooklyn, OH
- Paul Stanley Lieberman
- Emily Tan Llorada
- Tammy Lombardo
- Abigail Diane Mader
- Dennis James Magana
- Navjot Mahal
- Gagan C Mallik
- Barbara Manley
- Marathon Health LLC
- Marc Glassman Inc
All providers in Brooklyn, 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 Jan 10, 2025. 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.