Healthcare Provider Details

I. General information

NPI: 1851474498
Provider Name (Legal Business Name): CHRISTINE H SESONSKY MA-CCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

349 NILES CORTLAND RD NE
WARREN OH
44484-1976
US

IV. Provider business mailing address

6388 TARA DR
POLAND OH
44514-1692
US

V. Phone/Fax

Practice location:
  • Phone: 330-856-2957
  • Fax: 330-856-1615
Mailing address:
  • Phone: 330-757-3347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA00903
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: