MEDICARE: AMANDA GESOURAS MA CF-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
1	235Z00000X	Speech-Language Pathologist	COND.20211778-SP	OH
2	235Z00000X	Speech-Language Pathologist	SP.14925	OH

General Provider Information

NPI Number	:	1154099505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA GESOURAS MA CF-SLP

Provider Business Mailing Address
First Line	:	3474 E LIVINGSTON AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-2219
Country	:	US
Telephone Number	:	614-324-4585
Fax Number	:

Provider Business Practice Location Address
First Line	:	3474 E LIVINGSTON AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-2219
Country	:	US
Telephone Number	:	614-324-4585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2021
Last Update Date	:	08/29/2022

Similar Medicare Providers

1275577298 — DR. STEPHEN A TURNER M.D.
Practice Location Address:

3500 E LIVINGSTON AVE
COLUMBUS, OH
43227-2219

Practice Phone: 614-237-3000
Practice Fax: 614-237-2154

1972712941 — STEPHEN A. TURNER, M.D. INC.
Practice Location Address:

3500 E LIVINGSTON AVE
COLUMBUS, OH
43227-2219

Practice Phone: 614-237-3000
Practice Fax: 614-237-2154

1730347873 — ANTHONY S. NERI, M.D. INC
Practice Location Address:

3500 E LIVINGSTON AVE
COLUMBUS, OH
43227-2219

Practice Phone: 614-237-3000
Practice Fax: 614-237-2154

1649556648 — WHITEHALL PREPARATORY & FITNESS ACADEMY
Practice Location Address:

3474 E LIVINGSTON AVE
COLUMBUS, OH
43227-2219

Practice Phone: 937-684-2501
Practice Fax:

1184101156 — WENDY SARMIR
Practice Location Address:

3474 E LIVINGSTON AVE
COLUMBUS, OH
43227-2219

Practice Phone: 614-458-8725
Practice Fax:

1336140763 — DR. CARL DAVID HEILMAN D.C.
Practice Location Address:

1833 FRANKLIN PARK S
COLUMBUS, OH
43205-2219

Practice Phone: 419-499-3435
Practice Fax: 419-625-3967

Directions to “ AMANDA GESOURAS MA CF-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.