Basic Information
Provider Information
NPI: 1164143103
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VOLLMAN
FirstName: CLAUDIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 231 ALBERT SABIN WAY, ML 0528
Address2:  
City: CINCINNATI
State: OH
PostalCode: 45267
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 3113 BELLEVUE AVE STE 4400
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452193286
CountryCode: US
TelephoneNumber: 5134758400
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/08/2022
LastUpdateDate: 09/08/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/01/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X  Y Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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