Provider Demographics
NPI:1891534145
Name:OBER, JENNA I (AUD)
Entity type:Individual
Prefix:DR
First Name:JENNA
Middle Name:
Last Name:OBER
Suffix:I
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6629 URBANA WOODSTOCK RD
Mailing Address - Street 2:
Mailing Address - City:CABLE
Mailing Address - State:OH
Mailing Address - Zip Code:43009-9628
Mailing Address - Country:US
Mailing Address - Phone:937-869-8862
Mailing Address - Fax:
Practice Address - Street 1:275 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRINGBORO
Practice Address - State:OH
Practice Address - Zip Code:45066-8212
Practice Address - Country:US
Practice Address - Phone:937-641-8906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.02526231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist