Healthcare Provider Details

I. General information

NPI: 1457272619
Provider Name (Legal Business Name): GRETA FITCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2535 FORT AMANDA RD
LIMA OH
45804-3728
US

IV. Provider business mailing address

221 N WEST ST
DELPHOS OH
45833-1654
US

V. Phone/Fax

Practice location:
  • Phone: 419-999-2055
  • Fax:
Mailing address:
  • Phone:
  • 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:
Title or Position:
Credential:
Phone: