Shauna Holmes

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

NPI 1831247568 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1831247568
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP6299 (OH)
Practice address
4697 Harrison St
Bellaire, OH 43906-1338
Phone
(740) 671-1460
Fax
(740) 671-1210
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

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
SP6299OHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP6299 OH Yes

Addresses

Primary practice location

4697 Harrison St
Bellaire, OH 43906-1338

Mailing address

4697 Harrison St
Bellaire, OH 43906-1338
Phone (740) 671-1460

Other providers in Bellaire, OH

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

Sources for this page

Verify at the official NPI Registry.