MEDICARE: JENNIFER ROCKEL

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

General Provider Information

NPI Number	:	1881106540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ROCKEL

Provider Business Mailing Address
First Line	:	1930 FRICKE RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45225-1200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1930 FRICKE RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45225-1200
Country	:	US
Telephone Number	:	513-363-3670
Fax Number	:

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

Provider Enumeration Date	:	11/02/2017
Last Update Date	:	11/02/2017

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Directions to “ JENNIFER ROCKEL ” Practice Location

Language	Start Address	Practice Location

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