Provider Demographics
NPI:1982117917
Name:BENSON-COLE, ANGELA (MA, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:BENSON-COLE
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 1:154 HANOVER ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-3169
Mailing Address - Country:US
Mailing Address - Phone:513-608-3798
Mailing Address - Fax:
Practice Address - Street 1:1624 W GALBRAITH RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-4810
Practice Address - Country:US
Practice Address - Phone:513-728-4785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.5639235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist