Organization Name: | JESSICA L IRVING |
NPI Number: | 1497172357 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESSICA IRVING (OWNER) |
Mailing Address: | 8339 Davington Dr Dublin |
State: | OH US |
Postal Code: | 430177604 |
Phone Number: | 6147199972 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2014 |
NPI Last Update Date: | 07/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |