Individual
ALA Y OMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
951 HIGH ST LOWR LEVEL, WORTHINGTON, OH 43085-4099
(956) 237-6894
(614) 670-7427
Mailing address
951 HIGH ST LOWR LEVEL, WORTHINGTON, OH 43085-4099
(956) 237-6894
(614) 670-7427
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
235Z00000X
Speech-Language Pathologist
Primary
SP.14607
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0306774
—
OH
Enumeration date
09/27/2017
Last updated
10/04/2021
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