Provider Demographics
NPI:1013601921
Name:CUMBERLEDGE, ELIZABETH (SLP-CF)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:CUMBERLEDGE
Suffix:
Gender:F
Credentials:SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3541 EDWARDS RD APT 2
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-1301
Mailing Address - Country:US
Mailing Address - Phone:859-630-6391
Mailing Address - Fax:
Practice Address - Street 1:3541 EDWARDS RD APT 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-1301
Practice Address - Country:US
Practice Address - Phone:859-630-6391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY284906235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist