Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457749335 Individual Practitioner Female Practitioner

Kerry Formick , MA, CCC-SLP

Speech-Language Pathologist • Ravenna, OH

Professional Overview & Biography Verified Profile Summary

Kerry Formick, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Ravenna, OH. Practice services are available at 1071 JONES ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1071 Jones St

Ravenna, OH 442661413

Telephone 3302971744

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Ravenna, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
19 Specialists

Practicing in Ravenna, OH (7718 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License OH SP-4777

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 31, 2014

NPI status registered as active in NPPES database

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Updated Practice Location December 31, 2014

Registered at 1071 JONES ST, RAVENNA, OH 442661413 (Tel: 3302971744)

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Updated Business Mailing Address December 31, 2014

Registered at 3590 STATE ROUTE 59, RAVENNA, OH 442661380 (Tel: 3302976708)

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Provider Name / Credentials Updated December 31, 2014

Recorded as KERRY FORMICK, M. A., CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2014

Speech-Language Pathologist (License #SP-4777 in OH)

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Initial NPI Registration & Enumeration December 31, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457749335
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 31, 2014
Last Update: December 31, 2014
Sole Proprietor: No

Mailing Address

3590 State Route 59

Ravenna, OH 442661380

Phone: 3302976708

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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