IndividualActive
Alicia Charles, M.A., CCC-SLP
NPI 1700659018 · Speech-Language Pathologist · Fairborn, OH
Provider details
- NPI number
- 1700659018
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.A., CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- SP.15364 (OH)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
1020 S Maple Ave
Fairborn, OH 45324-3735
Phone: (937) 878-3969
Approximate (ZIP-level) locationGet directions
Mailing address
5454 Honeyleaf Way
Dayton, OH 45424-4734
Registry dates
- Enumerated
- 2023-10-30
- Last updated
- 2023-10-30
- Certified
- 2023-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.