Provider Demographics
NPI:1063624831
Name:OHIO STATE UNIVERSITY SPEECH-LANGUAGE-HEARING CLINIC
Entity type:Organization
Organization Name:OHIO STATE UNIVERSITY SPEECH-LANGUAGE-HEARING CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITELAW
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:614-292-6251
Mailing Address - Street 1:1070 CARMACK RD
Mailing Address - Street 2:141 PRESSEY HALL
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1002
Mailing Address - Country:US
Mailing Address - Phone:614-292-6251
Mailing Address - Fax:614-292-5723
Practice Address - Street 1:1070 CARMACK RD
Practice Address - Street 2:141 PRESSEY HALL
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1002
Practice Address - Country:US
Practice Address - Phone:614-292-6251
Practice Address - Fax:614-292-5723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty