Individual
JENNIFER ELEANOR TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2221 GRUBE ST, SPRINGFIELD, OH 45503-2642
(937) 399-8941
Mailing address
2221 GRUBE ST, SPRINGFIELD, OH 45503-2642
(937) 399-8941
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP07556
OH
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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