Individual
CARRIE FAHRENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
5945 MONTGOMERY RD, CINCINNATI, OH 45213-1609
(513) 363-4478
Mailing address
11659 SYMMES CREEK DR, LOVELAND, OH 45140-9341
(740) 974-5400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP9475
OH
Other
Enumeration date
02/07/2012
Last updated
03/20/2014
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