Karen Bush

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

NPI 1093965675 · NPPES record last updated Sep 19, 2008

Key facts

NPI
1093965675
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP-4743 (OH)
Practice address
70 Normandy Dr
Painesville, OH 44077-1616
Phone
(440) 357-1311
NPI assigned
Sep 19, 2008
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-4743OHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-4743 OH Yes

Addresses

Primary practice location

70 Normandy Dr
Painesville, OH 44077-1616

Mailing address

70 Normandy Dr
Painesville, OH 44077-1616
Phone (440) 357-1311

Other providers in Painesville, OH

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

Sources for this page

Verify at the official NPI Registry.