Ilanit Avidor-Reiss, M. SC., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10424 Issued in OH

Practice address

Bgsu Speech and Hearing Clinic
200 Health Center Building
Bowling Green, OH 43403-0149

Phone

(419) 372-2515

NPI assigned

Jul 9, 2018

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1104312594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 GALLATIN RD",
            "city": "OTTAWA HILLS",
            "state": "OH",
            "postal_code": "436062443",
            "telephone_number": "617-455-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BGSU SPEECH AND HEARING CLINIC",
            "address_2": "200 HEALTH CENTER BUILDING",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434030149",
            "telephone_number": "419-372-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVIDOR-REISS",
        "first_name": "ILANIT",
        "credential": "M. SC., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "10424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Associated Pathologists, Inc.
• David M Atwell, M.D.
• Emily Avers
• David Allen Avery
• Jennifer Lynn Avery, PT
• Belinda F Ayala, HPC/PDHPC
• Genah Babcock, LSW
• Jamie Babcock, NP-C
• Lisa Lynn Baer
• Mindy Bahnsen, BS

• Speech-Language Pathologist in Bowling Green, OH
• Providers in Bowling Green, 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 Jul 9, 2018; 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.