Kerry Formick, M. A., CCC-SLP

Speech-Language Pathologist · Ravenna, OH

Individual Active NPI

NPI number 1457749335

Practice location

1071 Jones St
Ravenna, OH 44266-1413
Phone
(330) 297-1744

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NPI record

NPI
1457749335
Entity type
Individual (Type 1)
Enumeration date
December 31, 2014
Last updated
December 31, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X SP-4777 OH

Mailing address

3590 State Route 59
Ravenna, OH 44266-1380
Phone
(330) 297-6708

About Kerry Formick

Kerry Formick, M. A., CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1071 Jones St, Ravenna, OH 44266-1413. The NPI number 1457749335 was assigned on December 31, 2014 and the record was last updated on December 31, 2014.

Kerry Formick lists a license in the registry: #SP-4777 (OH) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kerry Formick, M. A., CCC-SLP?

The NPI number is 1457749335.

What is the phone number of Kerry Formick?

The phone number listed for the practice location is (330) 297-1744.

Where is Kerry Formick located?

1071 Jones St, Ravenna, OH 44266-1413.

What is the taxonomy code for Kerry Formick?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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