Provider Demographics
NPI:1881096675
Name:GINSBURG, CINDY (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:GINSBURG
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 LOWELL DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-3617
Mailing Address - Country:US
Mailing Address - Phone:440-539-1152
Mailing Address - Fax:440-442-8362
Practice Address - Street 1:415 LOWELL DR
Practice Address - Street 2:
Practice Address - City:HIGHLAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44143-3617
Practice Address - Country:US
Practice Address - Phone:440-539-1152
Practice Address - Fax:440-442-8362
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP 2818235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCSG4150Medicaid