Provider Demographics
NPI:1407112873
Name:COMES, AUDRA BETH (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:AUDRA
Middle Name:BETH
Last Name:COMES
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6422 E MAIN ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-2358
Mailing Address - Country:US
Mailing Address - Phone:614-864-6620
Mailing Address - Fax:330-666-5626
Practice Address - Street 1:6422 E MAIN ST
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-2358
Practice Address - Country:US
Practice Address - Phone:614-864-6620
Practice Address - Fax:614-864-6690
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2012161-SLP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist