Kelly Parker

Individual provider Active NPI Speech-Language Pathologist · Cadiz, OH

NPI 1043667975 · NPPES record last updated May 20, 2016

Key facts

NPI
1043667975
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP . 7244 (OH)
Practice address
730 Peppard Ave
Cadiz, OH 43907-1067
Phone
(740) 942-7800
NPI assigned
May 20, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SP . 7244OHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP . 7244 OH Yes

Addresses

Primary practice location

730 Peppard Ave
Cadiz, OH 43907-1067

Mailing address

730 Peppard Ave
Cadiz, OH 43907-1067
Phone (740) 942-7800

Other providers in Cadiz, OH

All providers in Cadiz, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.