| Doctor Name: | MARY C ESTLACK |
| NPI Number: | 1063598795 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SP2064 |
| Business Practice Address: | 1725 Western Ave Suite B Findlay, OH - 458401345 |
| Business Phone Number: | 4194225526 |
| Business Fax Number: | 4194225562 |
| Mailing Address: | Po Box 239, FINDLAY |
| State: | OH |
| Postal Code: | 458390239 |
| Phone Number: | 4194225526 |
| Fax Number: | 4194225562 |
| NPI Enumeration Date: | 10/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP2064 |
| 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 |