Provider Demographics
NPI:1538569256
Name:REHFUSS, ANGELA MARIE (SLP/CFY)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:REHFUSS
Suffix:
Gender:F
Credentials:SLP/CFY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2170 STRUBLE RD.
Mailing Address - Street 2:MT. HEALTHY NORTH ELEMENTARY
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2170 STRUBLE RD.
Practice Address - Street 2:MT. HEALTHY NORTH ELEMENTARY
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231
Practice Address - Country:US
Practice Address - Phone:513-742-6004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-29
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2015068235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist