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NPI Code Detail

MEDICARE: MRS. KYLIE MARIE VOLPE M.A. CCC SLP

MEDICARE: MRS. KYLIE MARIE VOLPE M.A. 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-7749OH

General Provider Information

NPI Number : 1194857052
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KYLIE MARIE VOLPE M.A. CCC SLP
Provider Business Mailing Address
First Line : 2079 RANDOM RD
Second Line : #312
City : CLEVELAND
State : OH
Zip : 44106-5975
Country : US
Telephone Number : 216-789-6809
Fax Number :
Provider Business Practice Location Address
First Line : 1440 LAKESIDE AVE E
Second Line : ROOM 210
City : CLEVELAND
State : OH
Zip : 44114-1137
Country : US
Telephone Number : 216-592-7236
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2007
Last Update Date : 07/08/2007

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