Jenessa Booher, SLP | |
8561 Market St, Boardman, OH 44512-6727 | |
(330) 953-2383 | |
(330) 953-2384 |
Full Name | Jenessa Booher |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 8561 Market St, Boardman, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144956111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SP14575 (Ohio) | Primary |
Provider Name | Kids Choice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568798544 PECOS PAC ID: 3779717137 Enrollment ID: O20131018000230 |
Mailing Address | Practice Location Address |
---|---|
Jenessa Booher, SLP 8561 Market St, Boardman, OH 44512-6727 Ph: (330) 953-2383 | Jenessa Booher, SLP 8561 Market St, Boardman, OH 44512-6727 Ph: (330) 953-2383 |
Mrs. Melinda S Winsen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6614 Southern Blvd, Boardman, OH 44512 Phone: 330-726-8855 Fax: 330-726-9182 | |
Nicole Price, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8064 South Ave, Boardman, OH 44512 Phone: 330-726-3700 | |
Melissa A Cherne, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7777 Glenwood Ave, Boardman, OH 44512 Phone: 330-726-3428 | |
Michele Corll, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Debartolo Pl Ste 220, Boardman, OH 44512 Phone: 330-965-7828 | |
Kimberly Anne Macdonald, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7620 Southern Blvd, Suite 3, Boardman, OH 44512 Phone: 330-965-9330 Fax: 330-965-9308 | |
Shana Dipiero, ST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7620 Southern Blvd, Boardman, OH 44512 Phone: 330-965-9330 Fax: 330-965-9308 |