Doctor Name: | THOMAS GEORGE AFFHOLDER |
NPI Number: | 1649333964 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., CCC-SLP |
License Number: | SP2358 |
Business Practice Address: | 1880 N Perry St Suite 100 Ottawa, OH - 458751129 |
Business Phone Number: | 4195239003 |
Business Fax Number: | |
Mailing Address: | 427 E 2nd St, OTTAWA |
State: | OH |
Postal Code: | 458751923 |
Phone Number: | 4195234319 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP2358 |
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 |