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NPI Code Detail

MEDICARE: MRS. JACQUELINE MARIE MENO

MEDICARE: MRS. JACQUELINE MARIE MENO
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-4463OH

General Provider Information

NPI Number : 1265512016
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JACQUELINE MARIE MENO
Provider Business Mailing Address
First Line : 984 ELMWOOD DR
Second Line :
City : MACEDONIA
State : OH
Zip : 44056-2081
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 330 BROADWAY ST E
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44221-3312
Country : US
Telephone Number : 330-945-9797
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. JACQUELINE MARIE MENO ” Practice Location

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