MEDICARE: LORETTA HILL EMBRY

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	6560	OH

General Provider Information

NPI Number	:	1053737858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORETTA HILL EMBRY

Provider Business Mailing Address
First Line	:	5652 RIDGEBURY BLVD
Second Line	:
City	:	LYNDHURST
State	:	OH
Zip	:	44124-1453
Country	:	US
Telephone Number	:	216-577-4613
Fax Number	:

Provider Business Practice Location Address
First Line	:	17914 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44112-1222
Country	:	US
Telephone Number	:	216-920-1855
Fax Number	:

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

Provider Enumeration Date	:	03/17/2014
Last Update Date	:	02/21/2020

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Directions to “ LORETTA HILL EMBRY ” Practice Location

Language	Start Address	Practice Location

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