MEDICARE: MAURA GDOVIC

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	COND.20242969-SP	OH

General Provider Information

NPI Number	:	1386520682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAURA GDOVIC

Provider Business Mailing Address
First Line	:	379 N MAIN ST APT 301
Second Line	:
City	:	MUNROE FALLS
State	:	OH
Zip	:	44262-1061
Country	:	US
Telephone Number	:	412-925-4902
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	:	412-925-4902
Fax Number	:

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

Provider Enumeration Date	:	08/12/2025
Last Update Date	:	08/12/2025

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Directions to “ MAURA GDOVIC ” Practice Location

Language	Start Address	Practice Location

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