Individual provider · Type 1 NPI

Kerry Formick, M. A., CCC-SLP

Speech-Language Pathologist · Ravenna, OH

NPI number 1457749335 Active

Practice location

1071 Jones St
Ravenna, OH 44266-1413

Call (330) 297-1744 Map

Mailing address

3590 State Route 59
Ravenna, OH 44266-1380

Specialties and licenses

Taxonomy	Code	License
Speech-Language Pathologist Primary	235Z00000X	SP-4777 (OH)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1457749335

Kerry Formick, M. A., CCC-SLP's National Provider Identifier is 1457749335, issued on Dec 31, 2014. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Ravenna, OH. The record was last updated on Dec 31, 2014.