Dmetria Alston, MA, CCC-SLP

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

NPI 1285981977 · NPPES record last updated Aug 13, 2012

Key facts

NPI
1285981977
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP.6414 (OH)
Practice address
3126 Zach CT
Columbus, OH 43219-5013
Phone
(614) 546-6828
Fax
(614) 635-2699
NPI assigned
Aug 13, 2012
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

LicenseStateTypeSpecialty
SP.6414OHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.6414 OH Yes

Addresses

Primary practice location

3126 Zach CT
Columbus, OH 43219-5013

Mailing address

3126 Zach CT
Columbus, OH 43219-5013
Phone (614) 546-6828

Other providers in Columbus, OH

All providers in Columbus, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.