Amber J Dishman, SLP
Individual provider Active NPI Speech-Language Pathologist · Greenville, OH
NPI 1205958592 · NPPES record last updated Jun 9, 2021
Key facts
- NPI
- 1205958592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 11442 (OH)
- Practice address
- 750 Chestnut St
Greenville, OH 45331-1312 - Phone
- (937) 547-8000
- NPI assigned
- Apr 6, 2007
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22004236A | IN | MD | Speech-Language Pathologist |
| 11442 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Healthstrategies, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22004236A | IN | |
| Speech-Language Pathologist | 235Z00000X | 11442 | OH | Yes |
Addresses
Primary practice location
750 Chestnut St
Greenville, OH 45331-1312
Mailing address
409 W Canal St # 862
Ansonia, OH 45303-5154
Phone (765) 748-7834
Other practice location 1
409 W Canal St # 718
Ansonia, OH 45303-5154
Phone (937) 303-4644
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All providers in Greenville, 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 Jun 9, 2021. 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.