Provider Demographics
NPI:1588470157
Name:MAGIE, CLAIRE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:MAGIE
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 1:4115 STATE ROUTE 134
Mailing Address - Street 2:
Mailing Address - City:MOUNT ORAB
Mailing Address - State:OH
Mailing Address - Zip Code:45154-3201
Mailing Address - Country:US
Mailing Address - Phone:513-907-9473
Mailing Address - Fax:
Practice Address - Street 1:299 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:SEAMAN
Practice Address - State:OH
Practice Address - Zip Code:45679-7516
Practice Address - Country:US
Practice Address - Phone:937-386-6375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.15148235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist