Provider Demographics
NPI:1811616048
Name:PAUL, DAVID NATHANIEL (MA, CF-SLP)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:NATHANIEL
Last Name:PAUL
Suffix:
Gender:M
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5269 SIDNEY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-3732
Mailing Address - Country:US
Mailing Address - Phone:937-581-6305
Mailing Address - Fax:
Practice Address - Street 1:810 E COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:OH
Practice Address - Zip Code:45215-3930
Practice Address - Country:US
Practice Address - Phone:513-554-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
OHCOND.20222095-SP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty