Provider Demographics
NPI:1750909347
Name:CONNER, DREW H
Entity type:Individual
Prefix:
First Name:DREW
Middle Name:H
Last Name:CONNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7043 WINDWORD WAY APT 228
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-4546
Mailing Address - Country:US
Mailing Address - Phone:317-979-9220
Mailing Address - Fax:
Practice Address - Street 1:7043 WINDWORD WAY APT 228
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-4546
Practice Address - Country:US
Practice Address - Phone:317-979-9220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist