Healthcare Provider Details

I. General information

NPI: 1669508347
Provider Name (Legal Business Name): FAMILY SPEECH & HEARING CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 01/26/2021
Certification Date: 01/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6642 BRANCH HILL GUINEA PIKE
LOVELAND OH
45140-9178
US

IV. Provider business mailing address

6642 BRANCH HILL GUINEA PIKE
LOVELAND OH
45140-9178
US

V. Phone/Fax

Practice location:
  • Phone: 513-791-1458
  • Fax: 513-791-4326
Mailing address:
  • Phone: 513-791-1458
  • Fax: 513-791-4326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2355A2700X
TaxonomyAudiology Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MS. MARIA SENTELIK
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 513-791-1458