Individual
JORDAN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
540 PARK AVE, MIAMISBURG, OH 45342-2854
(937) 866-3381
Mailing address
540 PARK AVE, MIAMISBURG, OH 45342-2854
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
COND.2018728-SP
OH
235Z00000X
Speech-Language Pathologist
Primary
SP.13528
OH
Other
Enumeration date
07/31/2018
Last updated
07/30/2024
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