| NPI | 1043397458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNELL C. VICK Executive Director 216-231-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH sp-5730) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OH a-00915) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-06-05 |