Individual
MS. JENAE LYN WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CCC,SLP
Contact information
Practice address
14701 DETROIT AVE, LAKEWOOD, OH 44107-4115
(440) 838-0990
(440) 838-8440
Mailing address
1929 E ROYALTON RD STE A, BROADVIEW HEIGHTS, OH 44147-2868
(440) 838-0990
(440) 838-8440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-10551
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0849916
—
OH
Enumeration date
01/26/2012
Last updated
08/29/2012
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