Healthcare Provider Details

I. General information

NPI: 1447167663
Provider Name (Legal Business Name): PURNIMA IYER SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 E MOUND ST STE A
COLUMBUS OH
43215-5595
US

IV. Provider business mailing address

455 E MOUND ST STE A
COLUMBUS OH
43215-5595
US

V. Phone/Fax

Practice location:
  • Phone: 614-299-4554
  • Fax: 614-270-7427
Mailing address:
  • Phone: 614-299-4554
  • Fax: 614-270-7427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP.15072
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: