Provider Demographics
NPI:1386060531
Name:DAY, JENNA ANN (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JENNA
Middle Name:ANN
Last Name:DAY
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:ANN
Other - Last Name:BUFFA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:225 S. MAIN STREET
Mailing Address - Street 2:181 POLSKY BLDG. THE UNIVERSITY OF AKRON
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44325
Mailing Address - Country:US
Mailing Address - Phone:330-972-6163
Mailing Address - Fax:
Practice Address - Street 1:225 S. MAIN STREET
Practice Address - Street 2:181 POLSKY BLDG. THE UNIVERSITY OF AKRON
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44325
Practice Address - Country:US
Practice Address - Phone:330-972-6163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-12
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.P 11310235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist