Monica Agner

Individual provider Active NPI Speech-Language Pathologist · Kenton, OH

NPI 1639624232 · NPPES record last updated Jun 22, 2022

Key facts

NPI
1639624232
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP.12683 (OH)
Practice address
222 W Carrol St
Kenton, OH 43326-1202
Phone
(419) 673-1115
NPI assigned
Aug 24, 2016
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

LicenseStateTypeSpecialty
COND.2017085-SPOHMDSpeech-Language Pathologist
SP.12683OHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X COND.2017085-SP OH
Speech-Language Pathologist 235Z00000X SP.12683 OH Yes

Addresses

Primary practice location

222 W Carrol St
Kenton, OH 43326-1202

Mailing address

225 S Lawn Ave
Bluffton, OH 45817-1063

Other providers in Kenton, OH

All providers in Kenton, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.