Provider Demographics
NPI:1326595513
Name:GELLICK, RAMONA (CCC)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:
Last Name:GELLICK
Suffix:
Gender:F
Credentials:CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 STURBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-3075
Mailing Address - Country:US
Mailing Address - Phone:330-722-8333
Mailing Address - Fax:
Practice Address - Street 1:8337 FRIENDSVILLE RD
Practice Address - Street 2:
Practice Address - City:SEVILLE
Practice Address - State:OH
Practice Address - Zip Code:44273-9117
Practice Address - Country:US
Practice Address - Phone:330-302-0103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4276235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist