Joseph N Gambone

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

NPI 1760634653 · NPPES record last updated Oct 22, 2008

Key facts

NPI
1760634653
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
COND2009033 (OH)
Practice address
3725 Cleveland Massillon Rd
Norton, OH 44203-5614
Phone
(330) 861-0710
Fax
(330) 753-2051
NPI assigned
Oct 22, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
COND2009033OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Rehab and Wellness Center LLC Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X COND2009033 OH Yes

Addresses

Primary practice location

3725 Cleveland Massillon Rd
Norton, OH 44203-5614

Mailing address

1325 Churchill Hubbard Rd
Youngstown, OH 44505-1346
Phone (330) 759-5904

Other providers in Norton, OH

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

Sources for this page

Verify at the official NPI Registry.