MEDICARE: MRS. ROBERTA JUDITH TONTI MSW

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	1041C0700X	Clinical Social Worker	I746	OH

General Provider Information

NPI Number	:	1972504876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROBERTA JUDITH TONTI MSW

Provider Business Mailing Address
First Line	:	5035 MAYFIELD ROAD
Second Line	:	SUITE #214
City	:	LYNDHURST
State	:	OH
Zip	:	44124-2603
Country	:	US
Telephone Number	:	216-371-0046
Fax Number	:	216-321-6351

Provider Business Practice Location Address
First Line	:	5035 MAYFIELD RD
Second Line	:	SUITE #214
City	:	LYNDHURST
State	:	OH
Zip	:	44124-2688
Country	:	US
Telephone Number	:	216-371-0046
Fax Number	:	216-321-6351

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	07/28/2009

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