Provider Demographics
NPI:1851474498
Name:SESONSKY, CHRISTINE H (MA-CCC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:H
Last Name:SESONSKY
Suffix:
Gender:F
Credentials:MA-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6388 TARA DR
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-1692
Mailing Address - Country:US
Mailing Address - Phone:330-757-3347
Mailing Address - Fax:
Practice Address - Street 1:349 NILES CORTLAND RD NE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-1976
Practice Address - Country:US
Practice Address - Phone:330-856-2957
Practice Address - Fax:330-856-1615
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA00903231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000368723OtherANTHEM BC/BS
000000563561OtherANTHEM
1376617613OtherNPI