Organization
BGSU SPEECH AND HEARING CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY H. SMALL PH.D. (ASSOCIATE PROFESSOR AND CHAIR)
(419) 372-2515
Entity
Organization
Contact information
Practice address
200 HEALTH CTR, BOWLING GREEN STATE UNIVERSITY, BOWLING GREEN, OH 43403-0149
(419) 372-2515
Mailing address
200 HEALTH CTR, BOWLING GREEN STATE UNIVERSITY, BOWLING GREEN, OH 43403-0149
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0576523
—
OH
Enumeration date
04/06/2007
Last updated
08/22/2020
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