MEDICARE: ROBYN GELWASSER

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
1	235Z00000X	Speech-Language Pathologist	SP.6289	OH

General Provider Information

NPI Number	:	1316341274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBYN GELWASSER

Provider Business Mailing Address
First Line	:	11136 RAVENNA RD
Second Line	:
City	:	TWINSBURG
State	:	OH
Zip	:	44087-1022
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9198 DARROW RD
Second Line	:
City	:	TWINSBURG
State	:	OH
Zip	:	44087-1856
Country	:	US
Telephone Number	:	330-486-2065
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2014
Last Update Date	:	10/21/2014

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Directions to “ ROBYN GELWASSER ” Practice Location

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