Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackie Bungo, MA/CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1134520364

Jackie Bungo, MA/CCC-SLP is a Speech-Language Pathologist in Ravenna, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2014

Practice location Address checks out

3590 State Route 59
Ravenna, OH 44266-1380
Phone: (330) 297-6708
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP6345 (OH)

Record details

NPI number1134520364
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA/CCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 8, 2014
Last updated in NPPESSeptember 8, 2014

Other providers in Ravenna