JENNA BROOKE DORMAN (NPI# 1710335591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710335591 |
Entity Type | Individual |
Full Name | JENNA BROOKE DORMAN |
Credential | M.S. SLP |
Practice Address |
1700 Smallhouse Rd Apt D Bowling Green KY 42104-3284 |
Practice Telephone | 8134954335 |
Mailing Telephone | 8134954335 |
Enumeration Date | 2016-06-02 |
Last Update Date | 2016-06-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 167781 | KY | Speech, Language and Hearing Service Providers |
Street Address |
1700 SMALLHOUSE RD APT D |
City | BOWLING GREEN |
State | KY |
Zip Code | 42104-3284 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
Find all providers in zip 42104 |
Taxonomy Code | 235Z00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Speech-Language Pathologist |
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
1831718998 | Cullen D O'connor | Speech-Language Pathologist | 125 N Church St # B, Bowling Green, OH 43402-2301 | 2020-04-09 |
1245865534 | Southern Kentucky Speech Therapy | Speech-Language Pathologist | 812 Mandarin Ave, Bowling Green, KY 42104-7215 | 2020-03-06 |
1750915138 | The Reading Company LLC | Speech-Language Pathologist | 730 Fairview Ave Ste A5, Bowling Green, KY 42101-2383 | 2020-02-25 |
1912565441 | Tanya Dawn Buttry | Speech-Language Pathologist | 2712 Garrett Dr, Bowling Green, KY 42104-4332 | 2019-05-30 |
1659895019 | Haley Elyse Macielewicz | Speech-Language Pathologist | 18505 Tontogany Creek Rd Ste 4, Bowling Green, OH 43402-9037 | 2017-07-27 |
1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
1114378569 | April Hayes | Speech-Language Pathologist | 1873 Woodhollow Way, Bowling Green, KY 42103-1598 | 2016-06-28 |
1215387253 | Jessica Evelynne Wilson | Speech-Language Pathologist | 210 Spring Creek Ave Apt A, Bowling Green, KY 42101-5478 | 2016-06-21 |
1427404219 | Brent Archer | Speech-Language Pathologist | 200 Health and Human Services, Bowling Green, OH 43403-8550 | 2016-05-11 |
Find all providers in BOWLING GREEN |
City | BOWLING GREEN |
Zip Code | 42104 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.