Provider Demographics
NPI:1700344215
Name:PIERCE-RUHLAND, EVELYN J (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:EVELYN
Middle Name:J
Last Name:PIERCE-RUHLAND
Suffix:
Gender:F
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 1:4149 BRYDLE RD
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44048-7775
Mailing Address - Country:US
Mailing Address - Phone:440-228-6096
Mailing Address - Fax:
Practice Address - Street 1:4200 STATE RD
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-6017
Practice Address - Country:US
Practice Address - Phone:440-536-4176
Practice Address - Fax:440-990-1706
Is Sole Proprietor?:No
Enumeration Date:2019-03-05
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.04113235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist