Doctor Name: | MRS. JENNIFER RADOSEVIC |
NPI Number: | 1861810616 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SP |
License Number: | SP3629 |
Business Practice Address: | 3258 Nidover Dr Akron, OH - 443124628 |
Business Phone Number: | 3307981008 |
Business Fax Number: | 3307981168 |
Mailing Address: | 2410 Massillon Rd, AKRON |
State: | OH |
Postal Code: | 443124258 |
Phone Number: | 3307981008 |
Fax Number: | 3307981168 |
NPI Enumeration Date: | 03/30/2014 |
NPI Last Update Date: | 03/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP3629 |
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 |