Provider Demographics
NPI:1083268536
Name:ROBEY, JENNA (SLP)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:ROBEY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8036 DAYTONA ST NW
Mailing Address - Street 2:
Mailing Address - City:MASSILLAN
Mailing Address - State:OH
Mailing Address - Zip Code:44646
Mailing Address - Country:US
Mailing Address - Phone:330-353-4967
Mailing Address - Fax:
Practice Address - Street 1:2045 FRANKS PKWY
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-6254
Practice Address - Country:US
Practice Address - Phone:419-843-9759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-01
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS2887595235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist