Individual
JANE SUZANNE DELISIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8916 FONTAINEBLEAU TER, CINCINNATI, OH 45231-4806
(513) 503-5055
Mailing address
224 W 14TH ST APT 2, CINCINNATI, OH 45202-7595
(513) 503-5055
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
21450383
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21450383
—
OH
Enumeration date
08/14/2017
Last updated
08/11/2022
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