Jenae Lyn Wolf MA,CCC,SLP

NPI 1083985790 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1083985790
Gender Female
Enumeration Date 01/26/2012
Last Updated 08/29/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
14701 DETROIT AVE
LAKEWOOD OH, 44107-4115, US
Phone (440) 838-0990
Fax (440) 838-8440
Business Location
1929 E ROYALTON RD STE A
BROADVIEW HEIGHTS OH, 44147-2868, US
Phone (440) 838-0990
Fax (440) 838-8440
Toxanomy
Taxonomy Code 235Z00000X
License State Ohio
License Number SP-10551
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According to our database, Ms. Jenae Lyn Wolf MA,CCC,SLP NPI is 1083985790, taxonomy code is 235Z00000X and license number is SP-10551, license state is located at Ohio. Jenae Lyn Wolf MA,CCC,SLP physically located at 14701 Detroit Ave, Lakewood OH, 44107-4115. NPI Number Jenae Lyn Wolf MA,CCC,SLP has the Individual type.

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1083985790 NPI number is provided on an as is basis without warranty of any kind. 1083985790 is maintained by the National Plan & Provider Enumeration System. The contents of Jenae Lyn Wolf MA,CCC,SLP are for informational purposes only.