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NPI Code Detail

MEDICARE: MRS. JENNIFER MYERS BRELLO CCC-SLP

MEDICARE: MRS. JENNIFER MYERS BRELLO 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 PathologistSP5885OH

General Provider Information

NPI Number : 1548529019
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER MYERS BRELLO CCC-SLP
Provider Business Mailing Address
First Line : 1070 CARMACK RD
Second Line : PRESSEY HALL ROOM 139
City : COLUMBUS
State : OH
Zip : 43210-1002
Country : US
Telephone Number : 614-292-6251
Fax Number : 614-292-5723
Provider Business Practice Location Address
First Line : 1070 CARMACK RD
Second Line : PRESSEY HALL ROOM 139
City : COLUMBUS
State : OH
Zip : 43210-1002
Country : US
Telephone Number : 614-292-6251
Fax Number : 614-292-5723
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2012
Last Update Date : 05/03/2012

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Directions to “ MRS. JENNIFER MYERS BRELLO CCC-SLP” Practice Location

Language Start Address Practice Location
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