Provider Demographics
NPI:1598960213
Name:DOME, CLAUDIA ANNETTE (AUD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:ANNETTE
Last Name:DOME
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:CLAUDIA
Other - Middle Name:ANNETTE
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:456 W 10TH AVE
Mailing Address - Street 2:SUITE 4A
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1240
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:456 W 10TH AVE
Practice Address - Street 2:SUITE 4A
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1240
Practice Address - Country:US
Practice Address - Phone:614-293-3920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.01609231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist