Individual
MRS. KIRBY ELLEN RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1512 S US HIGHWAY 68, SUITE J100, URBANA, OH 43078-9198
(937) 484-1557
Mailing address
1512 S US HIGHWAY 68, SUITE J100, URBANA, OH 43078-9198
(937) 484-1557
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.9929
OH
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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