Provider Demographics
NPI:1164651030
Name:RANERI, JENNIFER RACHEL (AUD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:RACHEL
Last Name:RANERI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 2ND AVE
Mailing Address - Street 2:SUITE D-204
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-3600
Mailing Address - Country:US
Mailing Address - Phone:610-454-1177
Mailing Address - Fax:610-454-0416
Practice Address - Street 1:555 2ND AVE
Practice Address - Street 2:SUITE D-204
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-3600
Practice Address - Country:US
Practice Address - Phone:610-454-1177
Practice Address - Fax:610-454-0416
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-13
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006059231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist