Individual
MS. JENNIFER THIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1440 LAKESIDE AVE E, CLEVELAND, OH 44114-1137
(216) 692-4180
(216) 692-4181
Mailing address
1440 LAKESIDE AVE E, CLEVELAND, OH 44114-1137
(216) 692-4180
(216) 692-4181
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-8090
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1564187
—
OH
Enumeration date
11/01/2006
Last updated
04/03/2014
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