# J-EDIFY SLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316670805
- **Authorized official:** MRS. ANDREA K. HANSEN (OWNER/SLP)
- **Authorized official phone:** (502) 396-7008

## Contact information

- **Practice address:** 7799 JOAN DR, WEST CHESTER, OH 45069-3682
- **Practice address phone:** (513) 204-5746
- **Mailing address:** 7490 HEATHERWOOD LN, CINCINNATI, OH 45244-3210
- **Mailing address phone:** (502) 396-7008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2022
- **Last updated:** 07/02/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1235384264 | — | OH |