MEDICARE: JENNIFER J. KOSLOW

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	2202006340	VA

General Provider Information

NPI Number	:	1982123576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER J. KOSLOW

Provider Business Mailing Address
First Line	:	5609 HARD ROCK PL
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-1949
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5609 HARD ROCK PL
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-1949
Country	:	US
Telephone Number	:	757-285-2626
Fax Number	:

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

Provider Enumeration Date	:	09/14/2017
Last Update Date	:	06/01/2026

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Directions to “ JENNIFER J. KOSLOW ” Practice Location

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