Carol M. Dzambik, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-5002 Issued in OH

Practice address

2140 E 36TH St
Lorain, OH 44055-2756

Phone

(440) 277-4110

NPI assigned

Jan 23, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Summit Academy Community School for Alternative Learners

  • Local Education Agency (LEA)
  • Lorain, OH
  • NPI 1699969113
  NPD (past)
• Summit Academy Management

  • Community/Behavioral Health Agency
  • Akron, OH
  • NPI 1295882488

  Speech-Language Pathologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1083037253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 COBBLESTONE DR",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011966",
            "telephone_number": "440-985-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 E 36TH ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440552756",
            "telephone_number": "440-277-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZAMBIK",
        "first_name": "CAROL",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP-5002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Duncan, LSW
• Erin Nicole Dunfee
• Julie Dunlap, LPN
• Maria Durbin, LISW
• Shanica Annie Dyer
• Tami Dziak
• Kristin Kara Eastburn
• Jarrod Eastep, PA-C
• Easter Seal Society of Northwestern Ohio Inc.
• Easter Seal Society of Northwestern Ohio Inc.

• Speech-Language Pathologist in Lorain, OH
• Providers in Lorain, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.