Provider Demographics
NPI:1295965663
Name:HROVAT, JENNIFFER LEE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:JENNIFFER
Middle Name:LEE
Last Name:HROVAT
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 1:2307 FOX RUN RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-3511
Mailing Address - Country:US
Mailing Address - Phone:937-607-7460
Mailing Address - Fax:
Practice Address - Street 1:3594 N SNYDER RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45426-3397
Practice Address - Country:US
Practice Address - Phone:937-854-3050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-20
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.14422235Z00000X
NY558899-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No163W00000XNursing Service ProvidersRegistered Nurse