Individual
JESSICA BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
200 W 31ST ST, LORAIN, OH 44055-1116
(440) 830-4140
(216) 231-7141
Mailing address
200 W 31ST ST, LORAIN, OH 44055-1116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-13770
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104462670
—
OH
Enumeration date
11/20/2019
Last updated
10/18/2024
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