Krista Cleland, M.A. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Copley, OH
NPI 1124471321 · NPPES record last updated Jul 22, 2016
Key facts
- NPI
- 1124471321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP.0777 (OH)
- Practice address
- 30 Rothrock Loop
Copley, OH 44321-1331 - Phone
- (330) 666-2228
- NPI assigned
- Jul 22, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.0777 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Therapy LTD | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP.0777 | OH | Yes |
Addresses
Primary practice location
30 Rothrock Loop
Copley, OH 44321-1331
Mailing address
75 Lethbridge LN
Copley, OH 44321-1370
Other names
- Miss Krista Kohler
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- Seth Gordon Cobbs
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All providers in Copley, 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 Jul 22, 2016. 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.