Provider Demographics
NPI:1306218169
Name:SAHLEY, TONY (CCC-A)
Entity Type:Individual
Prefix:MR
First Name:TONY
Middle Name:
Last Name:SAHLEY
Suffix:
Gender:M
Credentials:CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35361 EUCLID AVENUE
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094
Mailing Address - Country:US
Mailing Address - Phone:440-946-0260
Mailing Address - Fax:440-946-4010
Practice Address - Street 1:35361 EUCLID AVENUE
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094
Practice Address - Country:US
Practice Address - Phone:440-946-0260
Practice Address - Fax:440-946-4010
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-20
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA-0943231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist