NPI Code Details Logo

NPI 1730045220

NPI 1730045220 : BROOKE DUBENSKY : KENT, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1730045220
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BROOKE DUBENSKY
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/29/2025
-----------------------------------------------------
    Last Update Date     |    12/29/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1951 STATE ROUTE 59 STE C 
-----------------------------------------------------
    City                 |    KENT
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44240-8128
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    330-846-1800
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    45 CHATHAM DR 
-----------------------------------------------------
    City                 |    AURORA
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44202-8814
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    330-931-5422
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.