Individual
JEN VICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 OUR LADYS WAY STE 228, ASHLAND, KY 41101-7049
(740) 200-0742
Mailing address
1100 OUR LADYS WAY STE 228, ASHLAND, KY 41101-7049
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
175167
KY
235Z00000X
Speech-Language Pathologist
SP.12827
OH
Other
Enumeration date
08/26/2016
Last updated
07/31/2024
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