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NPI Code Detail

MEDICARE: CLEVELAND HEARING AND SPEECH CENTER

MEDICARE: CLEVELAND HEARING AND SPEECH CENTER
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
1231H00000XAudiologistA-00915OH
2235Z00000XSpeech-Language PathologistSP-5730OH

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 : 1043397458
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEVELAND HEARING AND SPEECH CENTER
Provider Business Mailing Address
First Line : 11635 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-4319
Country : US
Telephone Number : 216-231-8787
Fax Number : 216-231-7141
Provider Business Practice Location Address
First Line : 11635 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-4319
Country : US
Telephone Number : 216-231-8787
Fax Number : 216-231-7141
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. JENNELL C. VICK
Credential : PHD
Telephone Number : 216-231-8787
Provider Enumeration Date : 11/01/2006
Last Update Date : 06/05/2020

Similar Medicare Providers

1194467498 — ALIVIA MANLET
Practice Location Address:
11635 EUCLID AVE
CLEVELAND, OH
44106-4319
Practice Phone: 216-231-8787
Practice Fax:
1588156517 — REBECCA MENTAL SLP
Practice Location Address:
11635 EUCLID AVE
CLEVELAND, OH
44106-4319
Practice Phone: 216-325-7526
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1629698980 — ALICIA VERHOVITZ CCC-SLP
Practice Location Address:
11635 EUCLID AVE
CLEVELAND, OH
44106-4319
Practice Phone: 216-231-8787
Practice Fax: 216-231-7141
1194803163 — MRS. BRIDGID WHITFORD AUD
Practice Location Address:
11635 EUCLID AVE
CLEVELAND, OH
44106-4319
Practice Phone: 216-231-8787
Practice Fax: 216-231-7141
1699267690 — RACHEL LESTER AUD
Practice Location Address:
11635 EUCLID AVE
CLEVELAND, OH
44106-4319
Practice Phone: 216-231-8787
Practice Fax: 216-231-7141
1922004902 — MS. MICHELLE L BURNETT M.A., CCC-SLP
Practice Location Address:
11635 EUCLID AVE
CLEVELAND, OH
44106-4319
Practice Phone: 216-231-8787
Practice Fax: 216-231-7141

Directions to “CLEVELAND HEARING AND SPEECH CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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