Basic Information
| Provider Information | |||||||||
| NPI: | 1972965952 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ONR NATIONAL SPEECH PATHOLOGY INC | ||||||||
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| OtherOrganizationName: | ONR NATIONAL, INC. | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8500 BLUFFSTONE CV STE A201 | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787597846 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8009674667 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5511 FISHCREEK RD | ||||||||
| Address2: | |||||||||
| City: | STOW | ||||||||
| State: | OH | ||||||||
| PostalCode: | 442241435 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8009674667 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/28/2016 | ||||||||
| LastUpdateDate: | 12/23/2020 | ||||||||
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| AuthorizedOfficialLastName: | THOMPSON | ||||||||
| AuthorizedOfficialFirstName: | CHARLES | ||||||||
| AuthorizedOfficialMiddleName: | NEWTON | ||||||||
| AuthorizedOfficialTitleorPosition: | VP-FINANCE AND ADMINISTRATION | ||||||||
| AuthorizedOfficialTelephone: | 5122759416 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| NPICertificationDate: | 12/23/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR0400X | Y | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation |
No ID Information.