Provider Demographics
NPI:1104022151
Name:CYMBAL, EDITH F (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:EDITH
Middle Name:F
Last Name:CYMBAL
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 1:9575 CREAWOOD FRST
Mailing Address - Street 2:
Mailing Address - City:WAITE HILL
Mailing Address - State:OH
Mailing Address - Zip Code:44094-9776
Mailing Address - Country:US
Mailing Address - Phone:440-821-4336
Mailing Address - Fax:
Practice Address - Street 1:9575 CREAWOOD FRST
Practice Address - Street 2:
Practice Address - City:WAITE HILL
Practice Address - State:OH
Practice Address - Zip Code:44094-9776
Practice Address - Country:US
Practice Address - Phone:440-821-4336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP 3144235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000310122OtherANTHEM PIN NUMBER