Provider Demographics
NPI:1417434184
Name:VOLZ, ERIC JEFFERY (SLP-CCC)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:JEFFERY
Last Name:VOLZ
Suffix:
Gender:M
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2607 RIVER OAKS DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-9171
Mailing Address - Country:US
Mailing Address - Phone:419-602-0564
Mailing Address - Fax:
Practice Address - Street 1:1155 ATWATER AVE
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-1301
Practice Address - Country:US
Practice Address - Phone:740-477-1695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.12947235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist