Individual
JENNIFER PYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. CCC-SLP
Contact information
Practice address
2619 GALLIA ST, PORTSMOUTH, OH 45662-4805
(740) 353-1876
Mailing address
8363 HAYPORT RD, WHEELERSBURG, OH 45694-1734
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP10232
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OH2178724
PROFESSIONAL LICENSE
OH
Enumeration date
10/28/2014
Last updated
10/28/2014
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