Provider Demographics
NPI:1467214064
Name:JUST, NATALIA F (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:F
Last Name:JUST
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5711 BELMERE DR
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-5207
Mailing Address - Country:US
Mailing Address - Phone:330-592-0995
Mailing Address - Fax:
Practice Address - Street 1:46450 252ND ST
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:SD
Practice Address - Zip Code:57018-5712
Practice Address - Country:US
Practice Address - Phone:605-446-3538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.15140235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist