Lana Bowman, M.A. CCC-SLP

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

NPI 1972806560 · NPPES record last updated Dec 21, 2010

Key facts

NPI
1972806560
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP7416 (OH)
Practice address
335 W McKinley Way
Poland, OH 44514-1681
Phone
(330) 757-2732
Fax
(330) 757-2756
NPI assigned
Dec 21, 2010
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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP7416OHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP7416 OH Yes

Addresses

Primary practice location

335 W McKinley Way
Poland, OH 44514-1681

Mailing address

335 W McKinley Way
Poland, OH 44514-1681

Other providers in Poland, OH

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

Sources for this page

Verify at the official NPI Registry.