Healthcare Provider Details

I. General information

NPI: 1043367139
Provider Name (Legal Business Name): SPEECH HEARING & REHABILITATION CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 DONAHOE DR
ASHTABULA OH
44004
US

IV. Provider business mailing address

2900 DONAHOE DR
ASHTABULA OH
44004
US

V. Phone/Fax

Practice location:
  • Phone: 440-992-4433
  • Fax: 440-992-6307
Mailing address:
  • Phone: 440-992-4433
  • Fax: 440-992-6307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number StateOH

VIII. Authorized Official

Name: MRS. MIRIAM CARTNER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 440-992-4433