Provider Demographics
NPI:1235479213
Name:DOELLING, CHRISTINA F (MS CC-SLP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:F
Last Name:DOELLING
Suffix:
Gender:F
Credentials:MS CC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6139 GOLDEN LN
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-6287
Mailing Address - Country:US
Mailing Address - Phone:614-565-0476
Mailing Address - Fax:
Practice Address - Street 1:6139 GOLDEN LN
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-6287
Practice Address - Country:US
Practice Address - Phone:614-565-0476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP 4052235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist