Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kerry Formick, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1457749335

Kerry Formick, MA, CCC-SLP is a Speech-Language Pathologist in Ravenna, Ohio. Licensed in Ohio. Registered with an NPI since 2014.

Licensed in
OH
In the registry since
2014
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1071 Jones St
Ravenna, OH 44266-1413
Phone: (330) 297-1744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP-4777 (OH)

Record details

NPI number1457749335
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedDecember 31, 2014
Last updated in NPPESDecember 31, 2014
Mailing address3590 State Route 59, Ravenna, OH 44266-1380

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