Healthcare Provider Details

I. General information

NPI: 1033033717
Provider Name (Legal Business Name): JENNIFER ALMROTH MA, EDS, NCSP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W MAIN ST
WOODVILLE OH
43469-1071
US

IV. Provider business mailing address

800 W MAIN ST
WOODVILLE OH
43469-1071
US

V. Phone/Fax

Practice location:
  • Phone: 419-862-1070
  • Fax:
Mailing address:
  • Phone: 419-862-1070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLSP.00583
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: