Julie Marie Fogt
Individual provider Active NPI Speech-Language Pathologist · Plain City, OH
NPI 1487989075 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1487989075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP.10029 (OH)
- Practice address
- 580 S Chillicothe St
Plain City, OH 43064-1233 - Phone
- (205) 516-6515
- Fax
- (205) 516-6515
- NPI assigned
- Oct 15, 2009
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COND2010036 | OH | MD | Speech-Language Pathologist |
| SP.10029 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easterseals Central and Southeast Ohio, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | COND2010036 | OH | |
| Speech-Language Pathologist | 235Z00000X | SP.10029 | OH | Yes |
Addresses
Primary practice location
580 S Chillicothe St
Plain City, OH 43064-1233
Mailing address
6006 Lakefront Ave
Hilliard, OH 43026-8436
Phone (205) 516-6515
Other practice location 1
3830 Trueman Ct
Hilliard, OH 43026-2496
Phone (614) 228-5523
Other providers in Plain City, OH
- Edgewater Place, Inc.
- Elite Mobility Solutions LLC
- Emily Elswick
- Patricia Fadairo
- Elizabeth Files
- Joseph Anthony Galore
- Cheryl Gordon
- Madeline Noelle Graham
- Alisha Anderson Gray
- Rachael Elizabeth Gruenbaum
All providers in Plain City, 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 Mar 17, 2018. 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.