MEDICARE: ANNA OKUN

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	15221	OH

General Provider Information

NPI Number	:	1346946423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA OKUN

Provider Business Mailing Address
First Line	:	5044 MAYFIELD RD
Second Line	:
City	:	LYNDHURST
State	:	OH
Zip	:	44124-2605
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1825 S GREEN RD
Second Line	:
City	:	SOUTH EUCLID
State	:	OH
Zip	:	44121-4211
Country	:	US
Telephone Number	:	216-691-2245
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2023
Last Update Date	:	02/01/2023

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Directions to “ ANNA OKUN ” Practice Location

Language	Start Address	Practice Location

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