Provider Demographics
NPI:1063907988
Name:FOLTZ, ELLEN (AUD)
Entity type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:
Last Name:FOLTZ
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4811 LAWNDALE ST NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-2059
Mailing Address - Country:US
Mailing Address - Phone:330-685-0915
Mailing Address - Fax:
Practice Address - Street 1:850 COLUMBIA RD STE 100
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-7213
Practice Address - Country:US
Practice Address - Phone:440-250-5744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-22
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.02140231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist