Individual ProviderMarianne JordanSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address71 Orphanage Rd, Fort Mitchell, KY 41017-3006(859) 331-0880PECOS EnrollmentBased on the most recent information from CMS, provider Marianne Jordan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1033252499Provider TypeIndividualFull NameJordan, MarianneCredentialMS CCC SLPGenderFemaleSole ProprietorNoEnumeration Date2/15/2007Last Updated7/25/2007Contact InformationPractice LocationPractice Address71 Orphanage Rd, Fort Mitchell, KY 41017-3006Phone(859) 331-0880Fax(859) 331-6177Mailing LocationMailing Address71 Orphanage Rd, Fort Mitchell, KY 41017-3006Phone(859) 331-0880Fax(859) 331-6177Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense0386Kentucky