Healthcare Provider Details

I. General information

NPI: 1609710193
Provider Name (Legal Business Name): JENNIFER L HEMMELGARN ED.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 E MARKET ST
CELINA OH
45822-1824
US

IV. Provider business mailing address

540 E MARKET ST
CELINA OH
45822-1824
US

V. Phone/Fax

Practice location:
  • Phone: 419-586-6628
  • Fax: 419-586-3377
Mailing address:
  • Phone: 419-586-6628
  • Fax: 419-586-3377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number03182
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: