Individual
CHRISTINA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
38720 SALTWELL RD, LISBON, OH 44432-8303
(330) 424-9591
Mailing address
38720 SALTWELL RD, LISBON, OH 44432-8303
(330) 424-9591
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.8924
OH
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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