Healthcare Provider Details

I. General information

NPI: 1598808206
Provider Name (Legal Business Name): THE DELAWARE SPEECH AND HEARING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 07/05/2022
Certification Date: 07/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

494 W CENTRAL AVE
DELAWARE OH
43015-1470
US

IV. Provider business mailing address

494 W CENTRAL AVE
DELAWARE OH
43015-1470
US

V. Phone/Fax

Practice location:
  • Phone: 740-369-3650
  • Fax: 740-369-0812
Mailing address:
  • Phone: 740-369-3650
  • Fax: 740-369-0812

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

VIII. Authorized Official

Name: BETHANY MOORE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 740-369-3650