Individual
AUSTIN JAMES MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
411 WESTERN ROW RD, MASON, OH 45040-1438
(513) 398-1486
Mailing address
9600 MONROE AVE, BLUE ASH, OH 45242-7042
(419) 487-3777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.14693
OH
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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