| Doctor Name: | MRS. JENNIFER ANNE TREADWAY |
| NPI Number: | 1356740211 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S./SLP |
| License Number: | SP. 8862 |
| Business Practice Address: | 401 N 3rd St Upper Sandusky, OH - 433511105 |
| Business Phone Number: | 4192942396 |
| Business Fax Number: | |
| Mailing Address: | 928 W Market St Ste A, TIFFIN |
| State: | OH |
| Postal Code: | 448832529 |
| Phone Number: | 4194472927 |
| Fax Number: | |
| NPI Enumeration Date: | 08/16/2014 |
| NPI Last Update Date: | 08/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP. 8862 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |