Provider Demographics
NPI:1902310857
Name:SELL, JODI (MS CCC-SLP/L)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:
Last Name:SELL
Suffix:
Gender:F
Credentials:MS CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2912 ALYSSA ST
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:IL
Mailing Address - Zip Code:60545-2161
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PASEC
Practice Address - Street 2:800 S HALE ST
Practice Address - City:PLANO
Practice Address - State:IL
Practice Address - Zip Code:60545
Practice Address - Country:US
Practice Address - Phone:630-552-8978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist