Lina Maura Cardenas
Individual provider Active NPI Speech-Language Pathologist · Millersport, OH
NPI 1659928307 · NPPES record last updated Aug 19, 2019
Key facts
- NPI
- 1659928307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 20191179 (OH)
- Practice address
- 11850 Lancaster St
Millersport, OH 43046-8058 - Phone
- (740) 467-2216
- NPI assigned
- Aug 19, 2019
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 20191179 | OH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 20191179 | OH | Yes |
Addresses
Primary practice location
11850 Lancaster St
Millersport, OH 43046-8058
Mailing address
7931 Oak Valley Rd
Reynoldsburg, OH 43068-1582
Phone (614) 975-6308
Other providers in Millersport, OH
- Charmayne Nikol Baker
- Sarah Ball
- David Craig Brookover
- Amanda K Bruckelmeyer
- Katie Annmarie Coffman
- Elizabeth E Davis
- Dr. Montgomery Orthodontics Inc
- Eye Site, L.L.C.
- Janice Lee Fetherolf
All providers in Millersport, 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 Aug 19, 2019. 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.