Healthcare Provider Details

I. General information

NPI: 1366220089
Provider Name (Legal Business Name): COLUMBUS SPEECH AND HEARING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2023
Last Update Date: 09/15/2023
Certification Date: 09/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 E NORTH BROADWAY ST
COLUMBUS OH
43214-4114
US

IV. Provider business mailing address

510 E NORTH BROADWAY ST
COLUMBUS OH
43214-4114
US

V. Phone/Fax

Practice location:
  • Phone: 614-263-5151
  • Fax: 614-263-5365
Mailing address:
  • Phone: 614-263-5151
  • Fax: 614-263-5365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: JAMES OLIVER DYE
Title or Position: PRESIDENT & CEO
Credential:
Phone: 614-263-5151