| Sjp Therapy, Llc | |
|
10999 Reed Hartman Hwy Ste 337 Blue Ash OH 45242-8303 | |
| (513) 788-2357 | |
| Not Available |
| Full Name | Sjp Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10999 Reed Hartman Hwy Ste 337, Blue Ash, Ohio |
| Authorized Official Name and Position | Samantha Pease (OWNER) |
| Authorized Official Contact | 3305063981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sjp Therapy, Llc 10999 Reed Hartman Hwy Ste 337 Blue Ash OH 45242-8303 Ph: (513) 788-2357 | Sjp Therapy, Llc 10999 Reed Hartman Hwy Ste 337 Blue Ash OH 45242-8303 Ph: (513) 788-2357 |
| NPI Number | 1972269736 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 11/16/2021 |
| Certification Date | 11/16/2021 |
| Medicare PECOS PAC ID | 6103203351 |
|---|---|
| Medicare Enrollment ID | O20220510000978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972269736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Samantha Jamison Pease |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992192561 PECOS PAC ID: 2365779196 Enrollment ID: I20190815003464 |
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