| Doctor Name: | AMY R COMMON |
| NPI Number: | 1023008604 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SP4271 |
| Business Practice Address: | 6847 N Chestnut St Ste 100 Ravenna, OH - 442663929 |
| Business Phone Number: | 3302972770 |
| Business Fax Number: | 3302978833 |
| Mailing Address: | 533 E Main St, RAVENNA |
| State: | OH |
| Postal Code: | 442663218 |
| Phone Number: | 3302979020 |
| Fax Number: | 3302979095 |
| NPI Enumeration Date: | 10/25/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP4271 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |