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
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 |
|---|---|---|---|
| COND2009033 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlas Rehab and Wellness Center LLC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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All providers in Norton, 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 Oct 22, 2008. 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.