Individual
JENNY RODAVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
379 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 246-7000
Mailing address
4685 FOREST AVE STE C, CINCINNATI, OH 45212-3359
(513) 246-7000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP4970
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP4970
OHIO LICENSE
OH
Enumeration date
02/07/2018
Last updated
02/07/2018
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