MEDICARE: ADVANCED SPEECH & LANGUAGE ASSOCIATES

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

General Provider Information

NPI Number	:	1194270553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED SPEECH & LANGUAGE ASSOCIATES

Provider Business Mailing Address
First Line	:	3722 BERKELEY RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44118-1943
Country	:	US
Telephone Number	:	818-397-5716
Fax Number	:

Provider Business Practice Location Address
First Line	:	3722 BERKELEY RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44118
Country	:	US
Telephone Number	:	818-397-5716
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RIVKA BERMAN
Credential	:	SLP
Telephone Number	:	845-596-2429

Provider Enumeration Date	:	08/15/2016
Last Update Date	:	06/17/2019

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Directions to “ADVANCED SPEECH & LANGUAGE ASSOCIATES ” 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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