NPI 1083985790

Jenae Lyn Wolf, MACCCSLP

Practitioner Speech-Language Pathologist Lakewood, OH

Practice location

Address: 14701 Detroit Ave, Lakewood, OH 44107-4115
Phone: (440) 838-0990
Fax: (440) 838-8440
Mailing address: 1929 E Royalton Rd STE a, Broadview Heights, OH 44147-2868

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SP-10551 (OH)

Other Speech-Language Pathologist providers in Ohio →

Registry record

NPI: 1083985790
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2012
Record last updated: 29 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.