CHRISTINE MARIAN KUDLAK (NPI# 1417262007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417262007 |
| Entity Type | Individual |
| Full Name | CHRISTINE MARIAN KUDLAK |
| Credential | SLP |
| Practice Address |
1525 Eber Rd Holland OH 43528-9616 |
| Practice Telephone | 4198666500 |
| Practice Fax Number | 4198664326 |
| Mailing Telephone | 4198666500 |
| Mailing Fax Number | 4198664326 |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2010-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP0737 | OH | Speech, Language and Hearing Service Providers |
| Street Address |
1525 EBER RD |
| City | HOLLAND |
| State | OH |
| Zip Code | 43528-9616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639252901 | Anne Grady Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1525 Eber Rd, Holland, OH 43528-9616 | 2006-10-23 |
| 1528439932 | Anne Grady Corporation | Intermediate Care Facility, Mentally Retarded | 1525 Eber Rd, Holland, OH 43528-9616 | 2015-10-12 |
| 1114357514 | Jeremy Kestner | Physical Therapy Assistant | 1525 Eber Rd, Holland, OH 43528-9616 | 2013-11-21 |
| 1285988717 | Anne Grady Corporation | Clinic/Center | 1525 Eber Rd, Holland, OH 43528-9616 | 2012-11-06 |
| 1346529591 | Anne Grady Corporation | Clinic/Center | 1525 Eber Rd, Holland, OH 43528-9616 | 2011-08-05 |
| 1154636744 | Jane Marie Fortener | Occupational Therapist | 1525 Eber Rd, Holland, OH 43528-9616 | 2010-08-09 |
| 1033237953 | Colleen Catherine Tye | Physical Therapist | 1525 Eber Rd, Holland, OH 43528-9616 | 2007-03-27 |
| 1780702332 | Pam Jean Brosius | Physical Therapist | 1525 Eber Rd, Holland, OH 43528-9616 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542345 | Bobbi Stall | Technician | 1027 Raymil, Holland, OH 43528 | 2020-09-15 |
| 1336789049 | Diana Kobylak | Licensed Practical Nurse | Racing for Recovery, 6202 Trust Dr., Holland, OH 43528 | 2020-01-10 |
| 1982262291 | Raven Diane Hannah | Licensed Vocational Nurse | 350 South Irwin Rd, Holland, OH 43528 | 2019-06-01 |
| 1881163988 | Brandon Scott Smith | Counselor | 350 S Irwin Road, Holland, OH 43528 | 2018-11-19 |
| 1184199432 | Pamela Adrienne Wilson | Rehabilitation Counselor | 350 S. Irwin Road, Holland, OH 43528 | 2018-10-12 |
| 1023509460 | Shaunte Harris | Counselor | 350 S Irwin, Holland, OH 43528 | 2018-05-22 |
| 1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
| 1174025100 | Samantha Hoelzer | Optometrist | 1460 Spring Meadows Drive, E100, Holland, OH 43528 | 2018-03-06 |
| 1780186262 | Vicki Gottfried | Community/Behavioral Health | 7015 Spring Meadows West Drive Suite 102, Holland, OH 43528 | 2018-03-01 |
| 1922519859 | Shaunta Marie Grier | Licensed Practical Nurse | 350 S Irwin Street, Holland, OH 43528 | 2017-10-18 |
| Find all providers in zip 43528 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223531 | Amanda Molinari | Speech-Language Pathologist | 7 Buck Rd, Holland, PA 18966-1704 | 2020-07-29 |
| 1790265734 | Nicole Lindsey Radlow | Speech-Language Pathologist | 20 Treeline Dr, Holland, PA 18966-2835 | 2018-08-20 |
| 1306391677 | Caitlin Henige | Speech-Language Pathologist | 830 Arbor Creek Dr, Apt. 108, Holland, MI 49423-7628 | 2016-08-16 |
| 1437546009 | Krista Walters | Speech-Language Pathologist | 3707 62nd St, Holland, MI 49423-9796 | 2015-04-22 |
| 1114329372 | Kimberley Paige Herman Mitchell | Speech-Language Pathologist | 439 Olde Deer Trl, Holland, MI 49424-6388 | 2014-09-19 |
| 1013321637 | Kimberly Besgrove | Speech-Language Pathologist | 7001 Madison Ave, Holland, OH 43528-9680 | 2014-06-12 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1700120326 | Joan Marie Vanfossan | Speech-Language Pathologist | 2966 Thornbury Dr, Holland, MI 49424-1692 | 2012-11-20 |
| 1891063111 | Mary Beth Seider | Speech-Language Pathologist | 11720 Partridge Rd, Holland, NY 14080-9800 | 2011-12-01 |
| 1598069346 | Dominique Simone Rosenblatt | Speech-Language Pathologist | 88 Grant Dr, Holland, PA 18966-2335 | 2011-01-07 |
| Find all providers in HOLLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.