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NPI Code Detail

MEDICARE: MARLA LADIKOS MA, CCC-SLP

MEDICARE: MARLA LADIKOS MA, CCC-SLP
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
1235Z00000XSpeech-Language PathologistSP.14327OH
2235Z00000XSpeech-Language PathologistSP32652CA

General Provider Information

NPI Number : 1194399824
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLA LADIKOS MA, CCC-SLP
Provider Business Mailing Address
First Line : 1200 W 76TH ST APT 103
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-2082
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3850 E ESTHER ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-2009
Country : US
Telephone Number : 440-937-3111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2021
Last Update Date : 05/09/2023

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Directions to “ MARLA LADIKOS MA, CCC-SLP” 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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