Jayne M Allen, M.S.CCC
Individual provider Active NPI Speech-Language Pathologist · Winchester, KY
NPI 1992837405 · NPPES record last updated Jan 10, 2017
Key facts
- NPI
- 1992837405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1362 (KY)
- Practice address
- 112 Gadwall LN
Winchester, KY 40391-7850 - Phone
- (859) 771-1593
- Fax
- (859) 744-0281
- NPI assigned
- Mar 10, 2007
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1362 | KY | MD | Mental Health Counselor |
| 139846 | KY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1362 | KY | Yes |
| Speech-Language Pathologist | 235Z00000X | 139846 | KY |
Addresses
Primary practice location
112 Gadwall LN
Winchester, KY 40391-7850
Mailing address
112 Gadwall LN
Winchester, KY 40391-7850
Phone (859) 771-1593
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100427200 | Medicaid | KY |
Other providers in Winchester, KY
- Ak Jersey Inc
- Alante Health and Wellness
- Alante' Health and Wellness
- Kayla Autumn Albright
- Allen-Clark Speech/Language Rehab. Services, Inc
- Alvarado Medical Services PLLC
- Ralph A. Alvarado
- Kelly Anderson
- David Brian Andreas
- Anita a Gray DDS PA PSC
All providers in Winchester, KY · Speech-Language Pathologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2017. 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.