Krista Ann Delatore, M.S-SLP

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

NPI 1992573174 · NPPES record last updated Dec 18, 2023

Key facts

NPI
1992573174
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
COND.20232486 (OH)
Practice address
4389 Medina Rd
Copley, OH 44321-1388
Phone
(234) 815-5100
NPI assigned
Dec 18, 2023
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

LicenseStateTypeSpecialty
COND.20232486OHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X COND.20232486 OH Yes

Addresses

Primary practice location

4389 Medina Rd
Copley, OH 44321-1388

Mailing address

1018 Oxford Dr SW
New Philadelphia, OH 44663-7632
Phone (330) 440-4632

Other providers in Copley, OH

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

Sources for this page

Verify at the official NPI Registry.