Organization
COMMUNITY SPEECH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA E WOLOSIANSKY MA CCC SLP (DIRECTOR SPEECH LANGUAGE PATHOLOG)
(330) 896-9119
Entity
Organization
Contact information
Practice address
4700 MASSILLON RD, NORTH CANTON, OH 44720-1166
(330) 896-9119
(330) 896-1185
Mailing address
PO BOX 667, GREEN, OH 44232-0667
(330) 896-9119
(330) 896-1185
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000208929
ANTHEM BCBS
OH
05
—
0915479
—
OH
01
—
282685899001
MEDICAL MUTUAL OF OHIO
OH
Enumeration date
10/10/2006
Last updated
06/10/2020
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