Provider Demographics
NPI:1851175814
Name:DURLIAT, CINDY (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:DURLIAT
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:STETLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:405 N WATER ST
Mailing Address - Street 2:
Mailing Address - City:PAULDING
Mailing Address - State:OH
Mailing Address - Zip Code:45879-1251
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:405 N WATER ST
Practice Address - Street 2:
Practice Address - City:PAULDING
Practice Address - State:OH
Practice Address - Zip Code:45879-1251
Practice Address - Country:US
Practice Address - Phone:419-399-4656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.15431235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist