Individual provider · Type 1 NPI

Jenna Ivy

Speech-Language Assistant · Tulsa, OK

NPI number 1619680048 Active

Practice location

11410 S Granite Ave
Tulsa, OK 74137-8111

Call (918) 629-5047 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801XSLPA305 (OK)

Speech-Language Assistant: Definition to come...

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About NPI 1619680048

Jenna Ivy's National Provider Identifier is 1619680048, issued on Dec 30, 2022. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Tulsa, OK. The record was last updated on Dec 30, 2022.