Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
1 | 235Z00000X | Speech-Language Pathologist | | SP 9335 | OHIO | No |
2 | 235Z00000X | Speech-Language Pathologist | | SLP-1329 | WEST VIRGINIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
1 | SP 9335 | OTHER | OHIO | OHIO BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY |
2 | SLP-1329 | OTHER | WEST VIRGINIA | WEST VIRGINIA BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY |
3 | 12153623 | OTHER | | AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION |