Healthcare Provider Details

I. General information

NPI: 1639085632
Provider Name (Legal Business Name): ANNE WHALEN BARTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 E ANKENEY MILL RD
XENIA OH
45385-1818
US

IV. Provider business mailing address

92 E ANKENEY MILL RD
XENIA OH
45385-1818
US

V. Phone/Fax

Practice location:
  • Phone: 937-372-6461
  • Fax: 937-374-4230
Mailing address:
  • Phone: 937-372-6461
  • Fax: 937-374-4230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number22863963
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: