Provider Demographics
NPI:1336723790
Name:KOMRSKA, ANNA SOPHIA (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:SOPHIA
Last Name:KOMRSKA
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 1:9001 PORTAGE POINTE DR APT L106
Mailing Address - Street 2:
Mailing Address - City:STREETSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:44241-6310
Mailing Address - Country:US
Mailing Address - Phone:614-935-1646
Mailing Address - Fax:
Practice Address - Street 1:614 CHILHAM CIR
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-6917
Practice Address - Country:US
Practice Address - Phone:301-310-6180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-11
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.16375235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist