MEDICARE: DENISE CARUSO

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	2150	OH

General Provider Information

NPI Number	:	1588176515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE CARUSO

Provider Business Mailing Address
First Line	:	3867 MEDINA RD # 265
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44333-4525
Country	:	US
Telephone Number	:	330-618-7872
Fax Number	:

Provider Business Practice Location Address
First Line	:	3867 MEDINA RD # 265
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44333-4525
Country	:	US
Telephone Number	:	330-618-7872
Fax Number	:

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

Provider Enumeration Date	:	10/31/2017
Last Update Date	:	10/31/2017

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Directions to “ DENISE CARUSO ” Practice Location

Language	Start Address	Practice Location

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