Elissa R. Berner, ST
Individual provider Active NPI Speech-Language Pathologist · South Charleston, OH
NPI 1619102779 · NPPES record last updated May 19, 2009
Key facts
- NPI
- 1619102779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7956 (OH)
- Practice address
- 6276 London Plattsburg Rd
South Charleston, OH 45368-8801 - Phone
- (937) 408-2829
- Fax
- (937) 284-8186
- NPI assigned
- May 19, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7956 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steps to Your Dreams Foundation, Inc. | Past | Accepting new patients | |
| Alpha and Omega Staffing Solutions, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7956 | OH | Yes |
Addresses
Primary practice location
6276 London Plattsburg Rd
South Charleston, OH 45368-8801
Mailing address
6276 Plattsburg Road
South Charleston, OH 45368-8801
Phone (937) 408-2829
Other providers in South Charleston, OH
- Alpha and Omega Staffing Solutions, Inc.
- Twila Diane Boyd
- Eric L Brady
- Kimberly G Buckner
- Rickie Burton
- Teresa L Campbell
All providers in South Charleston, 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 May 19, 2009. 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.