Provider Demographics
NPI:1861009946
Name:CLEARE, JENNA M (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JENNA
Middle Name:M
Last Name:CLEARE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:562 CLEARVIEW RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-6809
Mailing Address - Country:US
Mailing Address - Phone:203-824-4481
Mailing Address - Fax:
Practice Address - Street 1:562 CLEARVIEW RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-6809
Practice Address - Country:US
Practice Address - Phone:203-824-4481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist