MEDICARE: ELIZABETH ONEIL LINK MA

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	SP.11320	OH

General Provider Information

NPI Number	:	1174924476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ONEIL LINK MA

Provider Business Mailing Address
First Line	:	1750 E 234TH ST
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44117-1913
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6048 ROYALTON RD
Second Line	:
City	:	NORTH ROYALTON
State	:	OH
Zip	:	44133-5104
Country	:	US
Telephone Number	:	440-316-2416
Fax Number	:

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

Provider Enumeration Date	:	09/06/2014
Last Update Date	:	03/08/2021

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Directions to “ ELIZABETH ONEIL LINK MA” Practice Location

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