MEDICARE: CLAIRE CUTHBERTSON

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

General Provider Information

NPI Number	:	1588449979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE CUTHBERTSON

Provider Business Mailing Address
First Line	:	37545 DETROIT RD
Second Line	:
City	:	AVON
State	:	OH
Zip	:	44011-2133
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	37545 DETROIT RD
Second Line	:
City	:	AVON
State	:	OH
Zip	:	44011-2133
Country	:	US
Telephone Number	:	440-934-6171
Fax Number	:

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

Provider Enumeration Date	:	08/25/2023
Last Update Date	:	08/25/2023

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Directions to “ CLAIRE CUTHBERTSON ” Practice Location

Language	Start Address	Practice Location

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