MEDICARE: JAIMEE RACHELLE SZYMANSKI

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	SP.13583	OH

General Provider Information

NPI Number	:	1528543410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIMEE RACHELLE SZYMANSKI

Provider Business Mailing Address
First Line	:	253 FRANKFORT RD
Second Line	:
City	:	NEW CUMBERLAND
State	:	WV
Zip	:	26047-3006
Country	:	US
Telephone Number	:	304-650-4014
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 WEST ST STE 1
Second Line	:
City	:	WEIRTON
State	:	WV
Zip	:	26062-4555
Country	:	US
Telephone Number	:	304-639-9104
Fax Number	:

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

Provider Enumeration Date	:	09/26/2018
Last Update Date	:	03/23/2023

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Directions to “ JAIMEE RACHELLE SZYMANSKI ” Practice Location

Language	Start Address	Practice Location

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