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NPI Code Detail

MEDICARE: ELIZABETH ANNE WHITE

MEDICARE: ELIZABETH ANNE WHITE
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.9130OH

General Provider Information

NPI Number : 1508281957
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANNE WHITE
Provider Business Mailing Address
First Line : 5490 MILLS CREEK LN
Second Line :
City : NORTH RIDGEVILLE
State : OH
Zip : 44039-2339
Country : US
Telephone Number : 440-353-1184
Fax Number :
Provider Business Practice Location Address
First Line : 5490 MILLS CREEK LN
Second Line :
City : NORTH RIDGEVILLE
State : OH
Zip : 44039-2339
Country : US
Telephone Number : 440-353-1184
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2014
Last Update Date : 10/30/2018

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Directions to “ ELIZABETH ANNE WHITE ” Practice Location

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