Individual
MR. CHARLES JASON PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. CCC-SLP
Contact information
Practice address
1732 JUNIPER DR APT 190, BOWLING GREEN, OH 43402-3448
(248) 563-6919
Mailing address
1732 JUNIPER DR APT 190, BOWLING GREEN, OH 43402-3448
(248) 563-6919
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.9953
OH
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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