Healthcare Provider Details

I. General information

NPI: 1417879909
Provider Name (Legal Business Name): BUCKEYE SPEECH AND COMMUNICATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 N HIGH ST STE 401
COLUMBUS OH
43214-2635
US

IV. Provider business mailing address

7146 WINTERBEK AVE
NEW ALBANY OH
43054-9093
US

V. Phone/Fax

Practice location:
  • Phone: 614-407-6779
  • Fax:
Mailing address:
  • Phone: 330-761-8690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: CARA LYNETTE FALADE
Title or Position: OWNER
Credential: SLP
Phone: 614-407-6779