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NPI Code Detail

MEDICARE: MRS. CHRISTINE MARIE SULKA CCC/SLP

MEDICARE: MRS. CHRISTINE MARIE SULKA CCC/SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist8774OH

General Provider Information

NPI Number : 1083883185
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINE MARIE SULKA CCC/SLP
Provider Business Mailing Address
First Line : 2010 SAMADA AVE
Second Line :
City : WORTHINGTON
State : OH
Zip : 43085-3471
Country : US
Telephone Number : 765-414-0894
Fax Number :
Provider Business Practice Location Address
First Line : 5700 KARL RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-3602
Country : US
Telephone Number : 765-414-0894
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2008
Last Update Date : 06/07/2024

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Directions to “ MRS. CHRISTINE MARIE SULKA CCC/SLP” Practice Location

Language Start Address Practice Location
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