Provider Demographics
NPI:1902896384
Name:SOMMER, CAROL ANN G (MA, CCC-A, FAAA)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ANN G
Last Name:SOMMER
Suffix:
Gender:F
Credentials:MA, CCC-A, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A104 MUSIC & SPEECH BUILDING
Mailing Address - Street 2:KENT STATE UNIVERSITY SPEECH & HEARING CLINIC
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44242-0001
Mailing Address - Country:US
Mailing Address - Phone:330-672-2672
Mailing Address - Fax:330-672-2643
Practice Address - Street 1:A104 MUSIC & SPEECH BUILDING
Practice Address - Street 2:KENT STATE UNIVERSITY SPEECH & HEARING CLINIC
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44242-0001
Practice Address - Country:US
Practice Address - Phone:330-672-2672
Practice Address - Fax:330-672-2643
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA-0543231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist