Provider Demographics
NPI:1215168174
Name:CARLIN, CHARLES HUBERT (PHD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:HUBERT
Last Name:CARLIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 BUCHTEL MALL
Mailing Address - Street 2:SCHOOL OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44325-3001
Mailing Address - Country:US
Mailing Address - Phone:330-972-6803
Mailing Address - Fax:
Practice Address - Street 1:302 BUCHTEL MALL
Practice Address - Street 2:SCHOOL OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44325-3001
Practice Address - Country:US
Practice Address - Phone:330-972-6803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP5436235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist