| NPI | 1104165521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIES NICHELLE COBB Director 216-217-0561 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OH SP8177) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OH SP8177) |
| 231HA2400X Audiologist Assistive Technology Practitioner (Licence: OH MBE-20799) | |
| 231HA2500X Audiologist Assistive Technology Supplier (Licence: OH MBE-20799) | |
| 235500000X Specialist/Technologist (Licence: OH MBE-20799) | |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |