Provider Demographics
NPI:1912917634
Name:ROZZO, BARBARA J
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:J
Last Name:ROZZO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HEARING
Other - Middle Name:
Other - Last Name:CONSULTANTS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:10766 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-3213
Mailing Address - Country:US
Mailing Address - Phone:513-489-3300
Mailing Address - Fax:513-489-3018
Practice Address - Street 1:10766 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-3213
Practice Address - Country:US
Practice Address - Phone:513-489-3300
Practice Address - Fax:513-489-3018
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA00482237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2059650Medicaid
OH000000277958OtherANTHEM
OH000000001672OtherANTHEM
OH640003463Medicare ID - Type UnspecifiedRAILROAD MEDICARE
OH2059650Medicaid
OH000000277958OtherANTHEM