Chelsey Mirto
Individual provider Active NPI Speech-Language Pathologist · Lagrange, OH
NPI 1396116752 · NPPES record last updated Oct 21, 2019
Key facts
- NPI
- 1396116752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP.12182 (OH)
- Practice address
- 531 Opportunity Way
Lagrange, OH 44050 - Phone
- (440) 355-2300
- Fax
- (440) 355-4240
- NPI assigned
- Oct 12, 2015
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| SP.12182 | OH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP.12182 | OH | Yes |
Addresses
Primary practice location
531 Opportunity Way
Lagrange, OH 44050
Mailing address
531 Opportunity Way
Lagrange, OH 44050
Phone (440) 355-2300
Other names
- Chelsey Fries
Other providers in Lagrange, OH
- Mahavir Swami LLC
- Rajeev Manchukonda
- Lucila Del Carmen Maysonet
- Frances McConnell
- Mercy Health-Allen Hospital LLC
- Carrie Ann Hepner Oboyle
- Ifeoma A Ojukwu
- Ashley N Owen
- Megan Owen
- Jasmine Marie Parina
All providers in Lagrange, 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 Oct 21, 2019. 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.