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NPI Code Detail

MEDICARE: MRS. JENNIFER LYNN LAY M.A., CCC-SLP

MEDICARE: MRS. JENNIFER LYNN LAY M.A., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist22004550AIN

General Provider Information

NPI Number : 1316294077
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER LYNN LAY M.A., CCC-SLP
Provider Business Mailing Address
First Line : 2958 S 6TH STREET RD
Second Line :
City : VINCENNES
State : IN
Zip : 47591-9386
Country : US
Telephone Number : 812-887-6929
Fax Number :
Provider Business Practice Location Address
First Line : 2920 10TH ST
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-6602
Country : US
Telephone Number : 812-212-0161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2012
Last Update Date : 08/12/2012

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Directions to “ MRS. JENNIFER LYNN LAY M.A., CCC-SLP” Practice Location

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