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JACKIE BUNGO MA/CCC-SLP
NPI 1134520364
Speech-Language Pathologist in Ravenna, OH

Active since September 08, 2014
3590 STATE ROUTE 59, RAVENNA, OH 44266(330) 297-6708 Get Directions Write a Review

NPPES record last updated: September 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackie Bungo Ma/ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE BUNGO MA/CCC-SLP (NPI 1134520364) is an individual speech-language pathologist provider in Ravenna, Ohio, licensed in Ohio (SP6345) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1134520364
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJACKIE BUNGOCredential: MA/CCC-SLP
Location Address3590 STATE ROUTE 59Ravenna, OH 44266-1380
Mailing Address3590 State Route 59Ravenna, OH 44266-1380 · (330) 297-6708
Phone(330) 297-6708
Sole ProprietorYes
Enumeration DateSeptember 8, 2014
✔ NPI 1134520364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in OH · SP6345
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
3590 STATE ROUTE 59, Ravenna, OH 44266
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Other Identifiers 2

Other12033476Asha
OtherSP6345Ohio Board Of Speech-language Pathology And Audiology

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINE VITALONE
Speech-Language Pathologist
3590 STATE ROUTE 59, #2
RAVENNA, OH 44266
Portage County (330) 297-6708
LINDA D SPRIGGS M. ED, ED.S
Psychologist (School)
3590 STATE ROUTE 59
RAVENNA, OH 44266
Portage County (330) 297-6708
MRS. BETHANY RIEMENSCHNEIDER
Occupational Therapy Assistant
3590 STATE ROUTE 59
RAVENNA, OH 44266
Portage County (330) 205-5962
KRISTEN MARVINNEY ED.S., NCSP
Psychologist (School)
3590 STATE ROUTE 59
RAVENNA, OH 44266
Portage County (330) 297-6708
MS. PHYLLIS BADGLEY
Psychologist (School)
3590 STATE ROUTE 59, SPECIAL SERVICES
RAVENNA, OH 44266
Portage County (330) 297-6708
SHIRLI DANA MACCC-SLP
Speech-Language Pathologist
3590 STATE ROUTE 59
RAVENNA, OH 44266
Portage County (330) 297-6708

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Bungo's NPI number?

The NPI number for Jackie Bungo is 1134520364. It was assigned to this individual provider in the NPPES registry on September 8, 2014.

Where is Jackie Bungo located?

Jackie Bungo practices at 3590 State Route 59, Ravenna, OH 44266. The listed phone number is (330) 297-6708.

What is Jackie Bungo's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Jackie Bungo was last updated on September 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.