Individual
MRS. ELISSA RUTH GONIDAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
267 N MAIN ST, JOHNSTOWN, OH 43031
(740) 967-7896
Mailing address
199 STONE HEDGE ROW DR, JOHNSTOWN, OH 43031
(740) 967-1424
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP7987
OH
Other
Enumeration date
11/04/2006
Last updated
07/08/2007
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