Provider Demographics
NPI:1235280355
Name:NAPLES, GUY MICHAEL (MA CCC SP A)
Entity Type:Individual
Prefix:MR
First Name:GUY
Middle Name:MICHAEL
Last Name:NAPLES
Suffix:
Gender:M
Credentials:MA CCC SP A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:494 W CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-1470
Mailing Address - Country:US
Mailing Address - Phone:740-369-3650
Mailing Address - Fax:740-369-0812
Practice Address - Street 1:3940 NORTHHAMPTON DR
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-8442
Practice Address - Country:US
Practice Address - Phone:740-369-3650
Practice Address - Fax:740-369-0812
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA00163231H00000X
OHSP1830235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2095254Medicaid
OH2095254Medicaid
OH0552873Medicare UPIN