Individual
JENNA BRODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., M.S., CCC-SLP
Contact information
Practice address
29 BRUIN DR, WELLSBURG, WV 26070-3064
(304) 527-1410
Mailing address
29 BRUIN DR, WELLSBURG, WV 26070-3064
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2031
WV
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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