Healthcare Provider Details

I. General information

NPI: 1972407807
Provider Name (Legal Business Name): ELIZABETH FURMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 S SCHENLEY AVE
YOUNGSTOWN OH
44511-2154
US

IV. Provider business mailing address

783 PRESIDENTIAL DR
YOUNGSTOWN OH
44512-5714
US

V. Phone/Fax

Practice location:
  • Phone: 330-744-7155
  • Fax:
Mailing address:
  • Phone: 330-540-8731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberCOND.20263665-SP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: