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NPI Code Detail

MEDICARE: MS. TERRI MCLEOD MA, CCC/SLP

MEDICARE:  MS. TERRI  MCLEOD  MA, 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-4984OH

General Provider Information

NPI Number : 1487067526
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TERRI MCLEOD MA, CCC/SLP
Provider Business Mailing Address
First Line : 5956 DERBY DR
Second Line :
City : MEDINA
State : OH
Zip : 44256-6338
Country : US
Telephone Number : 330-321-4421
Fax Number :
Provider Business Practice Location Address
First Line : 856 W COOK RD
Second Line :
City : MANSFIELD
State : OH
Zip : 44907-5012
Country : US
Telephone Number : 419-525-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2014
Last Update Date : 06/06/2014

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Directions to “ MS. TERRI MCLEOD MA, CCC/SLP” Practice Location

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