Healthcare Provider Details

I. General information

NPI: 1538071964
Provider Name (Legal Business Name): YASIN TAYEH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6009 DUNHAM RD
MAPLE HEIGHTS OH
44137-4468
US

IV. Provider business mailing address

17020 HAMPTON CHASE
STRONGSVILLE OH
44136-6207
US

V. Phone/Fax

Practice location:
  • Phone: 440-381-2664
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP.17174
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: