Frewine Ogbaselase, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL017704 Issued in PA

Practice address

701 E Cathedral Rd Ste 45
421
Philadelphia, PA 19128

Phone

(267) 972-3210

NPI assigned

Aug 19, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nextgen Nurture

  • Speech-Language Pathologist
  • Philadelphia, PA
  • NPI 1982436879
  NPD Authorized official
• Kid Core Therapy

  • Speech-Language Pathologist
  • Pulaski, TN
  • NPI 1568259257
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1346072279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 S 73RD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191532311",
            "telephone_number": "267-972-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E CATHEDRAL RD STE 45",
            "address_2": "421",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19128",
            "telephone_number": "267-972-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBASELASE",
        "first_name": "FREWINE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL017704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kobina Ofosu-Donkoh
• Prince Ofosu-Mensah, DMD
• Mary K Ogara, LPN
• Tierra R Ogawa Sanders
• Jeffrey Ogbara, MD
• Titilola Ogbeide, CPM
• Tochi Sally Ogbuagu, MD
• Ezidimma Adanna Ogbudinkpa, PHARM.D
• Andrew R. Ogden, D.O.
• Jennifer Ogden

• Speech-Language Pathologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.