NPI | 1285861369 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY ANNE BILLER Speech Language Pathologist 440-471-7190 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP4771) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP5229) |
Enumeration Date | 2009-06-16 |
Last Update Date | 2013-10-11 |