Individual
DONNA BIDLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCC SLP
Contact information
Practice address
OHIO UNIVERSITY THERAPY ASSOC, W174 GROVER CENTER, ATHENS, OH 45701
(740) 593-1404
(740) 593-4433
Mailing address
W 174 GROVER CENTER, ATHENS, OH 45701
(740) 593-1404
(740) 593-4433
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1937
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000246469
ANTHEM
OH
05
—
0624471
—
OH
Enumeration date
12/18/2006
Last updated
07/08/2007
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