Organization
KSU SPEECH AND HEARING CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE ANN STANIK M.A., CCC-SLP (CLINICAL INSTRUCTOR)
(330) 672-2672
Entity
Organization
Contact information
Practice address
500 E MAIN ST, KENT, OH 44242-2501
(330) 672-2672
Mailing address
500 EAST MAIN STREET, KENT, OH 44242-0001
(330) 672-2672
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
SP-5020
OH
Other
Enumeration date
09/10/2007
Last updated
09/13/2007
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