Provider Demographics
NPI:1467577312
Name:LASCELL, NORA E (SLP)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:E
Last Name:LASCELL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6365 ROSEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-5926
Mailing Address - Country:US
Mailing Address - Phone:216-299-2169
Mailing Address - Fax:513-823-9400
Practice Address - Street 1:7770 W CHESTER RD STE 275
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-4151
Practice Address - Country:US
Practice Address - Phone:216-299-2169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-7382235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH654140OtherAETNA
OH2167462Medicaid
OH2167462Medicaid