Facts
- Status
- A
- Credential
- M.A., CCC/SLP
- Type
- Individual
- Enumeration date
- 2023-01-30
- Last updated
- 2023-01-30
Specialties
Licenses
- License OH
- SP.11900
Location
- Practice location
- 28046 WATSON RD
- City
- DEFIANCE OH
- Postal code
- 435128851
- Phone
- 419-395-1111
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.