Organization
J-EDIFY SLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA K. HANSEN (OWNER/SLP)
(502) 396-7008
Entity
Organization
Contact information
Practice address
7799 JOAN DR, WEST CHESTER, OH 45069-3682
(513) 204-5746
Mailing address
7490 HEATHERWOOD LN, CINCINNATI, OH 45244-3210
(502) 396-7008
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235384264
—
OH
Enumeration date
07/02/2022
Last updated
07/02/2022
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