Provider Demographics
NPI:1154745214
Name:VOGEL, JOSEPHINE (MS-CCC/SLP)
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:
Last Name:VOGEL
Suffix:
Gender:F
Credentials:MS-CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 EUCLID AVE.
Mailing Address - Street 2:STRUTHERS CITY SCHOOLS
Mailing Address - City:STRUTHERS
Mailing Address - State:OH
Mailing Address - Zip Code:44471
Mailing Address - Country:US
Mailing Address - Phone:330-750-1061
Mailing Address - Fax:330-750-5516
Practice Address - Street 1:99 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:STRUTHERS
Practice Address - State:OH
Practice Address - Zip Code:44471-1831
Practice Address - Country:US
Practice Address - Phone:330-750-1061
Practice Address - Fax:330-750-5516
Is Sole Proprietor?:No
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-3286235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist