Individual
MRS. JACKIE Z. MICHAELIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2681 GREGORY RD, CHESHIRE ELEMENTARY SCHOOL-OLENTANGY LOCAL SCHOOLS, DELAWARE, OH 43015
(740) 657-5750
(740) 657-5799
Mailing address
2080 CITYGATE DR, EDUCATIONAL SERVICE CENTER OF CENTRAL OHIO, COLUMBUS, OH 43219
(614) 445-3750
(614) 445-3767
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.6482
OH
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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