Teresa Craddock-Starr
Individual provider Active NPI Speech-Language Pathologist · Minerva, OH
NPI 1831579986 · NPPES record last updated Jun 4, 2015
Key facts
- NPI
- 1831579986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP.7040 (OH)
- Practice address
- 130 Bonnieview Ave
Minerva, OH 44657-2014 - Phone
- (330) 868-4011
- NPI assigned
- Jun 4, 2015
- 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 |
|---|---|---|---|
| SP.7040 | OH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP.7040 | OH | Yes |
Addresses
Primary practice location
130 Bonnieview Ave
Minerva, OH 44657-2014
Mailing address
130 Bonnieview Ave
Minerva, OH 44657-2014
Phone (330) 868-4011
Other providers in Minerva, OH
- Melissa Lynn Boldizar
- Lolly Ann Brown
- Kristen Rae Cappelli
- Kayla Nicole Carroll
- CC&S Ambulance Inc
- James Lemuel Cunningham
- Amanda Jean Dabb
- Melissa Rae Dale
- Davis Chiropractic Inc.
- Aimee Davis
All providers in Minerva, 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 Jun 4, 2015. 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.