Individual
MRS. JENNIFER E CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
2821 WHIPPLE AVE NW, SUITE 200, CANTON, OH 44708-6215
(330) 478-1752
(330) 478-1763
Mailing address
4645 BELPAR ST NW, CANTON, OH 44718-3602
(330) 493-4210
(330) 493-4744
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 5643
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000208064
ANTHEM BC/BS
OH
Enumeration date
07/26/2006
Last updated
07/08/2007
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