# JODY MEDVEDIK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1851413462
- **Gender:** F
- **Credential:** M.S.,CCC-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 000358 | MI | Yes |
| 231H00000X | Audiologist | A.02414 | OH | — |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 11/16/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 640H224420 | BCBSM NUMBER | MI |
| 05 | — | 804741233 | — | MI |