Individual
JILL ELIZABETH SLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
645 COLUMBUS AVE, LEBANON, OH 45036-1605
(513) 934-1226
Mailing address
PO BOX 184, SEVEN MILE, OH 45062-0184
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
OH-9162
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2791108
—
OH
Enumeration date
11/01/2011
Last updated
11/01/2011
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