Individual
MRS. JENNIFER KIRSTIN DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
3680 DOLSON CT, CARROLL, OH 43112-9721
(740) 654-0641
Mailing address
1865 HARD RD, COLUMBUS, OH 43235-5928
(419) 438-0820
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP. 11414
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14054472
ASHA CERTIFICATE OF CLINICAL COMPETENCE
OH
01
—
SP. 11414
OHIO BOARD OF SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY
OH
Enumeration date
03/02/2015
Last updated
06/11/2015
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