Basic Information
| Provider Information | |||||||||
| NPI: | 1902221542 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | CURRENT | ||||||||
| FirstName: | JEANNE | ||||||||
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| Credential: | SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1100 REID PKWY | ||||||||
| Address2: | MEDICAL STAFF SERVICES | ||||||||
| City: | RICHMOND | ||||||||
| State: | IN | ||||||||
| PostalCode: | 473741157 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7659358806 | ||||||||
| FaxNumber: | 7659833219 | ||||||||
| Practice Location | |||||||||
| Address1: | 550 HALLMARK DR | ||||||||
| Address2: | REID REHABILITATION SERVICES | ||||||||
| City: | EATON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 453208648 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7659833092 | ||||||||
| FaxNumber: | 7659833237 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/19/2014 | ||||||||
| LastUpdateDate: | 02/19/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 3423 | OH | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.