Provider Demographics
NPI:1982770954
Name:ABOLS, INESE (MA CCCA CERTIFIED AU)
Entity type:Individual
Prefix:MRS
First Name:INESE
Middle Name:
Last Name:ABOLS
Suffix:
Gender:F
Credentials:MA CCCA CERTIFIED AU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 WESTERN AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-6315
Mailing Address - Country:US
Mailing Address - Phone:330-434-5101
Mailing Address - Fax:330-434-7854
Practice Address - Street 1:102 WESTERN AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-6315
Practice Address - Country:US
Practice Address - Phone:330-434-5101
Practice Address - Fax:330-434-7854
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA0262237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0428844Medicaid