Desiree Cummings
Individual provider Active NPI Speech-Language Pathologist · Willard, OH
NPI 1033095674 · NPPES record last updated Aug 11, 2025
Key facts
- NPI
- 1033095674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP.15859 (OH)
- Practice address
- 5624 US Highway 224 W
Willard, OH 44890-9266 - Phone
- (567) 230-3216
- NPI assigned
- Aug 11, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.15859 | OH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP.15859 | OH | Yes |
Addresses
Primary practice location
5624 US Highway 224 W
Willard, OH 44890-9266
Mailing address
5624 US Highway 224 W
Willard, OH 44890-9266
Phone (567) 230-3216
Other providers in Willard, OH
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- Matthew Aaron Clingman
- Kyle Conley
- Ronda Jean Conti
- Kimberly Crisp
- Melodie Marie Cyrus
- Carolyn J Deaner
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- Veselin Dimitrov
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All providers in Willard, OH · Speech-Language Pathologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.