Kerry Formick, M. A., CCC-SLP
Speech-Language Pathologist, in Ravenna, OH. Individual provider (NPI-1).
NPI number1457749335
StatusActive
Last updated in NPPESDec 31, 2014
Details
- NPI
- 1457749335
- Entity type
- Individual (NPI-1)
- Name
- Kerry Formick
- Credential
- M. A., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 31, 2014
- Last updated
- Dec 31, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SP-4777 | OH | Yes |
Practice location
1071 Jones StRavenna, OH 44266-1413
Phone 330-297-1744
Mailing address
3590 State Route 59Ravenna, OH 44266-1380
Phone 330-297-6708
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Other Speech-Language Pathologist providers in Ravenna, OH
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- Rachael Leann Dunfee, MS CCC-SLPNPI 1144932518
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- Lauren HoleckoNPI 1730589987
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All 19 Speech-Language Pathologist providers in Ravenna · All 1,333 providers in Ravenna
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