Provider Demographics
NPI:1447406483
Name:GETHING, MICHELE ANN (CCC/SLP)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:ANN
Last Name:GETHING
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:854 OSLO CV
Mailing Address - Street 2:
Mailing Address - City:EATON
Mailing Address - State:OH
Mailing Address - Zip Code:45320-2567
Mailing Address - Country:US
Mailing Address - Phone:937-336-0369
Mailing Address - Fax:937-456-6507
Practice Address - Street 1:854 OSLO CV
Practice Address - Street 2:
Practice Address - City:EATON
Practice Address - State:OH
Practice Address - Zip Code:45320-2567
Practice Address - Country:US
Practice Address - Phone:937-336-0369
Practice Address - Fax:937-456-6507
Is Sole Proprietor?:No
Enumeration Date:2008-08-11
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA19259235Z00000X
OHSP-7428235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist