Provider Demographics
NPI:1487025045
Name:KAMINSKI, ARIEL C
Entity Type:Individual
Prefix:MRS
First Name:ARIEL
Middle Name:C
Last Name:KAMINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ARIEL
Other - Middle Name:C
Other - Last Name:FAVORITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:928 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-2529
Mailing Address - Country:US
Mailing Address - Phone:419-447-2927
Mailing Address - Fax:
Practice Address - Street 1:1038 MILLER ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-2142
Practice Address - Country:US
Practice Address - Phone:419-332-5538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH9344235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist