Healthcare Provider Details

I. General information

NPI: 1386779783
Provider Name (Legal Business Name): YOUNGSTOWN HEARING AND SPEECH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

299 EDWARDS ST
YOUNGSTOWN OH
44502-1504
US

IV. Provider business mailing address

299 EDWARDS ST
YOUNGSTOWN OH
44502-1504
US

V. Phone/Fax

Practice location:
  • Phone: 330-743-1168
  • Fax: 330-743-1616
Mailing address:
  • Phone: 330-743-1168
  • Fax: 330-743-1616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JODY KLASE
Title or Position: CEO
Credential:
Phone: 330-599-5493