Individual
ANNE MENDELSON MIRMAN-TYSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5500 E BROAD ST, COLUMBUS, OH 43213-1476
(614) 575-9003
(614) 575-9101
Mailing address
6283 RUTHERFORD PL, COLUMBUS, OH 43213-3439
(614) 866-6654
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1464
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0845063
—
OH
Enumeration date
06/28/2007
Last updated
07/08/2007
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