Individual
JENNIFER ANN SELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
303 N HURSTBOURNE PKWY, 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
3439 AQUARIOUS CIR, OAKLAND, MI 48363-2716
(810) 614-5384
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000613
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7101000613
SPEECH-LANGUAGE PATHOLOGIST LICENSE
MI
Enumeration date
03/12/2013
Last updated
03/12/2013
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