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NPI Code Detail

MEDICARE: MRS. HELENA SMITH M.A., CCC-SLP

MEDICARE: MRS. HELENA SMITH M.A., 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-4906OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568531523
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HELENA SMITH M.A., CCC-SLP
Provider Business Mailing Address
First Line : 11206 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1718
Country : US
Telephone Number : 216-231-8787
Fax Number : 216-231-7141
Provider Business Practice Location Address
First Line : 11206 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1718
Country : US
Telephone Number : 216-231-8787
Fax Number : 216-231-7141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. HELENA SMITH M.A., CCC-SLP” Practice Location

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