Provider Demographics
NPI:1285185066
Name:PRATI, CHRISTA E (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CHRISTA
Middle Name:E
Last Name:PRATI
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5253 SHEFFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-7707
Mailing Address - Country:US
Mailing Address - Phone:614-893-4462
Mailing Address - Fax:
Practice Address - Street 1:5253 SHEFFIELD AVE
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-7707
Practice Address - Country:US
Practice Address - Phone:614-893-4462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP 7445235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist