Individual
JENAYE C BAUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
379 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-3476
Mailing address
4685 FOREST AVE STE C, CINCINNATI, OH 45212-3359
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12027
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12027
OH-SLP
OH
Enumeration date
02/07/2018
Last updated
02/07/2018
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