Individual provider Active NPI

Cohl Cuneo, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Sylvania, OH
National Provider Identifier
1639903065
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.16096 Issued in OH
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

Updated by the provider on Aug 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
SP.16096OHMDSpeech-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.

Verify at the official NPI Registry.