Jaya Ottens

Individual provider Active NPI Speech-Language Pathologist · Weed, CA

NPI 1982251559 · NPPES record last updated Aug 19, 2019

Key facts

NPI
1982251559
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
445 Park St
Weed, CA 96094-2332
Phone
(530) 938-4429
NPI assigned
Aug 19, 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

Specialties & licenses

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

Addresses

Primary practice location

445 Park St
Weed, CA 96094-2332

Mailing address

25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697

Other providers in Weed, CA

All providers in Weed, CA · Speech-Language Pathologist in California

Sources for this page

Verify at the official NPI Registry.