Healthcare Provider Details

I. General information

NPI: 1598269193
Provider Name (Legal Business Name): LILAH SOL MS CF SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2018
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2651 BURNET AVE
CINCINNATI OH
45219-2551
US

IV. Provider business mailing address

1308 AVON DR
CINCINNATI OH
45229-1212
US

V. Phone/Fax

Practice location:
  • Phone: 513-363-0000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number20263492-SP
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: