Provider Demographics
NPI:1356887533
Name:YADAV, JAZMIN VIANEY (MS/CF/SLP)
Entity type:Individual
Prefix:
First Name:JAZMIN
Middle Name:VIANEY
Last Name:YADAV
Suffix:
Gender:F
Credentials:MS/CF/SLP
Other - Prefix:
Other - First Name:JAZMIN
Other - Middle Name:VIANEY
Other - Last Name:COLON SALAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS/CF/SLP
Mailing Address - Street 1:6960 KELLOGG DR.
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065
Mailing Address - Country:US
Mailing Address - Phone:935-542-5759
Mailing Address - Fax:
Practice Address - Street 1:6960 KELLOGG DR
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-7355
Practice Address - Country:US
Practice Address - Phone:935-542-5759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist