Elissa Ruth Gonidakis, MA CCC SLP
Individual provider Active NPI Speech-Language Pathologist · Johnstown, OH
NPI 1154400521 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154400521
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP7987 (OH)
- Practice address
- 267 N Main St
Johnstown, OH 43031 - Phone
- (740) 967-7896
- NPI assigned
- Nov 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| SP7987 | OH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP7987 | OH | Yes |
Addresses
Primary practice location
267 N Main St
Johnstown, OH 43031
Mailing address
199 Stone Hedge Row Dr
Johnstown, OH 43031
Phone (740) 967-1424
Other names
- Ms. Elissa Ruth Tosenberger
Other providers in Johnstown, OH
- Flynn Family Chiropractic, LLC
- Fortitude Healthcare LLC
- Gahanna Physical Therapy Limited Partnership
- Trisha Lynn Gilbert
- Ryan T. Gilkey
- Angela Green
- Barton K Hall
- Darci Hartshorn
- Sara McKenzi Herriott
- Horus Medical
All providers in Johnstown, 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 8, 2007. 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.