IndividualActive
Jenna Ivy
NPI 1619680048 · Speech-Language Assistant · Tulsa, OK
Provider details
- NPI number
- 1619680048
- Entity type
- Individual
- Primary specialty
- Speech-Language AssistantSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- SLPA305 (OK)
Mailing address
11410 S Granite Ave
Tulsa, OK 74137-8111
Registry dates
- Enumerated
- 2022-12-30
- Last updated
- 2022-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.