MEDICARE: JENNIFER OBRINGER MA, 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
1	235Z00000X	Speech-Language Pathologist	SL013171	PA
2	235Z00000X	Speech-Language Pathologist	SP11927	OH

General Provider Information

NPI Number	:	1801315510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER OBRINGER MA, CCC-SLP

Provider Business Mailing Address
First Line	:	5261 ROYALWOOD RD APT 204
Second Line	:
City	:	NORTH ROYALTON
State	:	OH
Zip	:	44133-2367
Country	:	US
Telephone Number	:	419-443-5648
Fax Number	:

Provider Business Practice Location Address
First Line	:	5261 ROYALWOOD RD APT 204
Second Line	:
City	:	NORTH ROYALTON
State	:	OH
Zip	:	44133-2367
Country	:	US
Telephone Number	:	419-443-5648
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2017
Last Update Date	:	07/21/2022

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