Anna Bacot Southard, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Cincinnati, OH
NPI 1366864217 · NPPES record last updated Jan 13, 2014
Key facts
- NPI
- 1366864217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP. 10873 (OH)
- Practice address
- 6632 Chestnut St
Cincinnati, OH 45227-3605 - Phone
- (937) 728-0334
- NPI assigned
- Jan 13, 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP. 10873 | OH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP. 10873 | OH | Yes |
Addresses
Primary practice location
6632 Chestnut St
Cincinnati, OH 45227-3605
Mailing address
6632 Chestnut St
Cincinnati, OH 45227-3605
Phone (937) 728-0334
Other providers in Cincinnati, OH
- Soundhealth Medical and Homehealth LLC
- South Coast Ohio Dentistry Inc.
- Abbigail South
- Christopher D South
- Abigail Faith Southall
- Deborah Lynn Southerland
- Marla Southerland
- Southern Ohio Eye Physicians,Inc.
- Southern Ohio Pathology Consultants Inc
- Emily Southman
All providers in Cincinnati, 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 Jan 13, 2014. 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.