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NPI Code Detail

MEDICARE: MARCIA GILLCRIST-SPENCE CCC-SLP

MEDICARE:   MARCIA  GILLCRIST-SPENCE  CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP-2448OH

General Provider Information

NPI Number : 1093925208
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIA GILLCRIST-SPENCE CCC-SLP
Provider Business Mailing Address
First Line : 36090 SPICEBUSH LN
Second Line :
City : SOLON
State : OH
Zip : 44139-5062
Country : US
Telephone Number : 440-248-7397
Fax Number :
Provider Business Practice Location Address
First Line : 20620 N PARK BLVD
Second Line : SUITE # 212B
City : SHAKER HEIGHTS
State : OH
Zip : 44118-4519
Country : US
Telephone Number : 216-932-4432
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 07/08/2007

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Directions to “ MARCIA GILLCRIST-SPENCE CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.