Provider Demographics
NPI:1760031553
Name:SELTZER, RENEE (MSCF-SLP)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:SELTZER
Suffix:
Gender:F
Credentials:MSCF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 YOUNGSTOWN WARREN RD STE A
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:OH
Mailing Address - Zip Code:44446-4626
Mailing Address - Country:US
Mailing Address - Phone:330-505-1606
Mailing Address - Fax:
Practice Address - Street 1:950 YOUNGSTOWN WARREN RD STE A
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:OH
Practice Address - Zip Code:44446-4626
Practice Address - Country:US
Practice Address - Phone:330-505-1606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.20191228-SLP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist