Provider Demographics
NPI:1386817955
Name:VORACHEK, JENNIFER KRISTEN
Entity Type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:KRISTEN
Last Name:VORACHEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4799 EMERALD LN
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-1122
Mailing Address - Country:US
Mailing Address - Phone:330-273-1039
Mailing Address - Fax:
Practice Address - Street 1:7377 RIDGE RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-6602
Practice Address - Country:US
Practice Address - Phone:440-845-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-03
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP8988235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist