Healthcare Provider Details

I. General information

NPI: 1619709433
Provider Name (Legal Business Name): ANNABELLE RABER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNABELLE CESSNA M.A. CCC-SLP

II. Dates (important events)

Enumeration Date: 08/19/2024
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MEDICAL PARK DR
DOVER OH
44622-3204
US

IV. Provider business mailing address

314 BEITLER AVE NE
NEW PHILADELPHIA OH
44663-2917
US

V. Phone/Fax

Practice location:
  • Phone: 330-602-0719
  • Fax:
Mailing address:
  • Phone: 330-447-2329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberCOND.20242901-SP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: