Amy R Common in Ravenna - Speech-language Pathologist

Amy R Common - NPI 1023008604

Amy R Common is a Speech-language Pathologist in Ravenna, Ohio. Amy R Common practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Amy R Common is 1023008604. The last update date is 2007-07-08.

Amy R Common's current location address is 533 E Main St, Ravenna, Ohio. You can contact this provider via phone number 3302979020 and fax number 3302979095. The mailing address for Amy R Common is 533 E Main St, Ravenna, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Amy R Common
Address 533 E Main St, Ravenna, Ohio
Phone Number 3302979020
Fax Number 3302979095
Sole Proprietor X
Credentials SLP

NPI Number Detail

NPI Number 1023008604
Provider Enumeration Date 2005-10-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 533 E Main St
City Ravenna
State Ohio (OH)
Post Code 442663218
Phone Number 3302979020
Fax Number 3302979095

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No SP4271
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
SP4271 OH OHIO BOARD OF SPEECH LANG

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FAQs about Amy R Common

What is the unique 10-digit identifier code issued to Amy R Common by the Centers for Medicare & Medicaid Services?

The Amy R Common has been assigned the NPI (National Provider Identifier) 1023008604 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Amy R Common?

The Amy R Common is physically situated at 533 E Main St, in the city of Ravenna, state of OH, with the postal code 442663218.

What is Amy R Common's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Amy R Common is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1023008604 to Amy R Common?

The Centers for Medicare & Medicaid Services assigned the 1023008604 to Amy R Common on 2005-10-25.

As of what date were the details pertaining to Amy R Common last refreshed?

The information related to the Amy R Common, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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