KERRY FORMICK M. A., CCC-SLP
NPI 1457749335
Speech-Language Pathologist in Ravenna, OH

Active since December 31, 2014
1071 JONES ST, RAVENNA, OH 44266(330) 297-1744 Get Directions Write a Review

NPPES record last updated: December 31, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kerry Formick M. A., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERRY FORMICK M. A., CCC-SLP (NPI 1457749335) is an individual speech-language pathologist provider in Ravenna, Ohio, licensed in Ohio (SP-4777) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1457749335
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKERRY FORMICKCredential: M. A., CCC-SLP
Location Address1071 JONES STRavenna, OH 44266-1413
Mailing Address3590 State Route 59Ravenna, OH 44266-1380 · (330) 297-6708
Sole ProprietorNo
Enumeration DateDecember 31, 2014
NPI 1457749335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in OH · SP-4777
Definition
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.
1071 JONES ST, Ravenna, OH 44266

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kerry Formick's NPI number?

The NPI number for Kerry Formick is 1457749335. It was assigned to this individual provider in the NPPES registry on December 31, 2014.

Where is Kerry Formick located?

Kerry Formick practices at 1071 Jones St, Ravenna, OH 44266. The listed phone number is (330) 297-1744.

What is Kerry Formick's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kerry Formick was last updated on December 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.