Healthcare Provider Details

I. General information

NPI: 1205057122
Provider Name (Legal Business Name): MIAMI UNIVERSITY SPEECH & HEARING CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 02/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 BACHELOR HALL
OXFORD OH
45056
US

IV. Provider business mailing address

2 BACHELOR HALL
OXFORD OH
45056
US

V. Phone/Fax

Practice location:
  • Phone: 513-529-2500
  • Fax: 513-529-2502
Mailing address:
  • Phone: 513-529-2500
  • Fax: 513-529-2502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateOH

VIII. Authorized Official

Name: DR. KATHLEEN M HUTCHINSON
Title or Position: DEPT CHAIR SPEECH PATHOLOGY & AUDIO
Credential: PHD CCC A
Phone: 513-529-2509