Doctor Name: | MR. RYAN KNOBLAUCH |
NPI Number: | 1407926595 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, CCC-SLP |
License Number: | SP-8278 |
Business Practice Address: | 27511 Holiday Ln Ste 202c Perrysburg, OH - 435515397 |
Business Phone Number: | 4197401181 |
Business Fax Number: | |
Mailing Address: | 1296 Running Brook Dr, PERRYSBURG |
State: | OH |
Postal Code: | 435511889 |
Phone Number: | 4197401181 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 04/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-8278 |
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 |