Active NPI
Cohl Cuneo, M.S., CCC-SLP
- Speech-Language Pathologist
- Sylvania, OH
National Provider Identifier
1639903065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.16096
- Practice address
- 4830 Wickford Dr E
Sylvania, OH 43560-3353 - Phone
- (419) 824-8615
- NPI assigned
- Aug 28, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP.16096 | OH | Primary |
Addresses
Primary practice location
4830 Wickford Dr E
Sylvania, OH 43560-3353
Mailing address
4830 Wickford Dr E
Sylvania, OH 43560-3353
Phone (419) 824-8615
Other practice location 1
9000 Sylvania Ave
Sylvania, OH 43560-9578
Phone (419) 824-8680 ext. 4330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.16096 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1639903065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4830 WICKFORD DR E",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435603353",
"telephone_number": "419-824-8615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4830 WICKFORD DR E",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435603353",
"telephone_number": "419-824-8615"
}
],
"practiceLocations": [
{
"address_1": "9000 Sylvania Ave",
"address_purpose": "LOCATION",
"city": "Sylvania",
"state": "OH",
"postal_code": "435609578",
"country_code": "US",
"telephone_number": "419-824-8680 x4330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUNEO",
"first_name": "COHL",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-28",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.16096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylvania, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.