Amy Caldwell

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

NPI 1194148668 · NPPES record last updated Feb 3, 2014

Key facts

NPI
1194148668
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP4722 (OH)
Practice address
382 Blackbrook Rd
Painesville, OH 44077-1294
Phone
(440) 350-2563
NPI assigned
Feb 3, 2014
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

State licenses

LicenseStateTypeSpecialty
SP4722OHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP4722 OH Yes

Addresses

Primary practice location

382 Blackbrook Rd
Painesville, OH 44077-1294

Mailing address

382 Blackbrook Rd
Painesville, OH 44077-1294

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.