NPIMap

Heidi Friend, M.A. CCC-SLP

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

NPI 1992128458 · NPPES record last updated Feb 3, 2014

Key facts

NPI
1992128458
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP.10542 (OH)
Practice address
11611 State Route 771
Leesburg, OH 45135-8601
Phone
(937) 780-2988
Fax
(937) 780-6900
NPI assigned
Feb 3, 2014
Sex
Female
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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP.10542OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Ohio Educational Service Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.10542 OH Yes

Addresses

Primary practice location

11611 State Route 771
Leesburg, OH 45135-8601

Mailing address

3321 Airborne Rd
Wilmington, OH 45177-8969
Phone (937) 382-6921

Other providers in Leesburg, OH

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

Sources for this page

Verify at the official NPI Registry.