Wolf, Jenae Lyn
Wolf, Jenae Lyn is an individual health care provider with primary practice located at 14701 Detroit Ave , Lakewood OH 44107-4115. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wolf, Jenae Lyn can be contacted via phone (440) 838-0990.Contact Information
Primary practice address
14701 Detroit Ave
Lakewood OH 44107-4115
Phone: (440) 838-0990
Fax: (440) 838-8440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP-10551 | Ohio |
Profile Details
| NPI number | 1083985790 |
|---|---|
| LBN Legal business name | Wolf, Jenae Lyn |
| Credentials | MA,CCC,SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2012 |
| Last updated | Aug 29th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083985790 | NPPES |
| Ohio | MEDICAID | 0849916 |
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