Healthcare Provider Details

I. General information

NPI: 1124394747
Provider Name (Legal Business Name): SPEECH, LANGUAGE & HEARING SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2012
Last Update Date: 03/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5950 AIRPORT HWY STE 17
TOLEDO OH
43615-7362
US

IV. Provider business mailing address

5950 AIRPORT HWY STE 17
TOLEDO OH
43615-7362
US

V. Phone/Fax

Practice location:
  • Phone: 419-865-7500
  • Fax: 419-865-8532
Mailing address:
  • Phone: 419-865-7500
  • Fax: 419-865-8532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number00858
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number8447
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1835
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3923
License Number StateOH

VIII. Authorized Official

Name: MRS. JOY HYMAN
Title or Position: OWNER
Credential: CCC-SLP
Phone: 419-865-7500