MR. OTTO MAZZONI III (NPI# 1245725423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245725423 |
| Entity Type | Individual |
| Full Name | MR. OTTO MAZZONI III |
| Credential | M.S., CCC-SLP |
| Practice Address |
2407 W Main St # 82 Clarksville TX 75426-3327 |
| Mailing Address |
268 Whispering Pine Trl Mount Vernon TX 75457-4957 |
| Practice Telephone | 9034273821 |
| Mailing Telephone | 9035632405 |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 111590 | TX | Speech, Language and Hearing Service Providers |
| Street Address |
2407 W MAIN ST # 82 |
| City | CLARKSVILLE |
| State | TX |
| Zip Code | 75426-3327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831691922 | Fpacp Clarksville LLC | Skilled Nursing Facility | 2407 West Main Highway 82, Clarksville, TX 75426 | 2018-03-05 |
| 1225415565 | Hhy, LLC | Clinic/Center | 1805 Industrial Way, Clarksville, TX 75426 | 2015-05-06 |
| 1205235835 | Sandra Michelle Batts | Adult Companion | 205 Lovett, Clarksville, TX 75426 | 2014-08-20 |
| 1548690100 | Brian Agnew | Counselor | 106 N. Mlk, Clarksville, TX 75426 | 2013-11-19 |
| 1528252046 | Thomas Virgil Ragan Jr. | Dentist | 985 Farm Market Rd 1159, Clarksville, TX 75426 | 2007-08-28 |
| 1912914151 | Carrie Diane Hinton | Nurse Practitioner | 106 North Martin Luther King Blvd, Clarksville, TX 75426 | 2006-08-01 |
| 1326077041 | Red River Emergency Medicine Associates Pa | Physician Assistant | 3000 Hwy 82 W, Clarksville, TX 75426 | 2006-07-03 |
| 1922048693 | Kyle J Keeley | Physical Therapist | 2206-b West Main, Hwy 82, Clarksville, TX 75426 | 2006-06-08 |
| 1043395270 | Cvs Pharmacy Inc | Pharmacy | 1909 W Broadway St, Clarksville, TX 75426-2010 | 2006-10-26 |
| 1467761536 | Misty Dawn Perez | Pharmacist | 1909 W Broadway St, Clarksville, TX 75426-2010 | 2010-10-06 |
| Find all providers in zip 75426 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952912578 | Elizabeth Apelt | Speech-Language Pathologist | 129 Lyme Dr, Clarksville, TN 37043-7419 | 2020-08-17 |
| 1508499724 | Sydney Kate Zari | Speech-Language Pathologist | 215a Dunbar Cave Rd # 215-a, Clarksville, TN 37043-5734 | 2020-02-17 |
| 1306407986 | Erin Azbell Johnson | Speech-Language Pathologist | 1273 Northfield Dr Ste 3, Clarksville, TN 37040-6184 | 2019-06-25 |
| 1740844802 | Lana Sperry | Speech-Language Pathologist | 1255 Northfield Drive, Clarksville, TN 37042 | 2019-04-24 |
| 1558831768 | Lisa Ruth Taddei | Speech-Language Pathologist | 6600 S Trotter Rd, Clarksville, MD 21029-1248 | 2018-11-30 |
| 1871062331 | Stephanie Kehres | Speech-Language Pathologist | 12041 Route 108, Clarksville, MD 21029-1232 | 2018-11-14 |
| 1114414976 | Carol Koch Dempsey | Speech-Language Pathologist | 357 Powhatan Rd, Clarksville, VA 23927-2334 | 2018-04-17 |
| 1871003053 | Adrienne Cooper Terrebonne | Speech-Language Pathologist | 323 Longwood Ct, Clarksville, TN 37043-4042 | 2017-10-02 |
| 1962939017 | Debra Lynn Lowrance | Speech-Language Pathologist | 2860 Summer Lawn Dr, Clarksville, TN 37043-4030 | 2017-05-20 |
| 1770014524 | Lauren Mclean | Speech-Language Pathologist | 1925 Ashland City Rd Apt 503, Clarksville, TN 37043-5298 | 2017-03-23 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 75426 |
Please comment or provide details below to improve the information on MR. OTTO MAZZONI III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.