Mary Kozak, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP4957 Issued in OH

Practice address

3260 Oxford Millvl Rd
Oxford, OH 45056-9430

Phone

(513) 273-3633

NPI assigned

Jan 25, 2014

Last updated

Jan 28, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1720401862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 WOODS RD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473749409",
            "telephone_number": "765-962-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 OXFORD MILLVL RD",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450569430",
            "telephone_number": "513-273-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAK",
        "first_name": "MARY",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-25",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP4957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Nicole Klock, APRN
• Sarah Knight, COTA
• Mary Margaret Knoedler, MD
• Kelly Kay Knollman Porter, MA CCCSLP
• Roger M. Knudson, PH. D.
• Michael Scott Kranbuhl, MD
• Jane Kratzer, LMT
• Kroger Limited Partnership I (Kroger Pharmacy)
• Holly Anne Larson, MS, RD
• Kathryn Larson, RN, BSN

• Speech-Language Pathologist in Oxford, OH
• Providers in Oxford, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.