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NPI Code Detail

MEDICARE: ALEXIS JATZEK

MEDICARE: ALEXIS JATZEK
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.15080OH

General Provider Information

NPI Number : 1306622006
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS JATZEK
Provider Business Mailing Address
First Line : 5311 LONGWOOD AVE
Second Line :
City : PARMA
State : OH
Zip : 44134-3800
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5311 LONGWOOD AVE
Second Line :
City : PARMA
State : OH
Zip : 44134-3800
Country : US
Telephone Number : 440-842-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2023
Last Update Date : 01/12/2026

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Directions to “ ALEXIS JATZEK ” 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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