Provider Demographics
NPI:1295337814
Name:KAISER, COLE J (CCC-SLP)
Entity type:Individual
Prefix:
First Name:COLE
Middle Name:J
Last Name:KAISER
Suffix:
Gender:M
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6765 STATE RD
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-4581
Mailing Address - Country:US
Mailing Address - Phone:440-843-7800
Mailing Address - Fax:
Practice Address - Street 1:6765 STATE RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-4581
Practice Address - Country:US
Practice Address - Phone:440-843-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist